Vitamin E as adjuvant treatment for urinary tract infection in girls with acute pyelonephritis - Abstract

INTRODUCTION: Vitamin E is a fat-soluble vitamin that functions as an antioxidant.

The aim of this study was to investigate the effects of vitamins E supplementation in combination with antibiotics for the treatment of girls with acute pyelonephritis.

MATERIALS AND METHODS: This double-blinded randomized controlled trial was conducted on 152 girls aged 5 to 12 years with a first acute pyelonephritis episode based on technetium Tc 99m dimercaptosuccinic acid (99mTc-DMSA). They were randomized to receive a 14-day treatment with only antibiotics (control group; nā€‰=ā€‰76) and 14-day treatment with supplements of vitamin E (intervention group; nā€‰=ā€‰76) in addition to the antibiotics. Patients' clinical symptoms were monitored for 14 days and urine culture was performed 3 to 4 days and 7 to 10 days after the start of the treatment and its completion, respectively. All of the girls once underwent DMSA scan 4 to 6 months after the treatment.

RESULTS: During the follow-up days, the mean frequency of fever (P = .01), urinary frequency (P = .001), urgency (P = .003), dribbling (P = .001), and urinary incontinence (P = .006) were significantly lower in the intervention group compared to the control group. There was no significant difference in the results of urine culture 3 to 4 days after the start of treatment (P = .16) and 7 to 10 days after its termination (P = .37). There was also no significant difference between the results of DMSA scan 4 to 6 months after the start of treatment (P = .31).

CONCLUSIONS: Vitamin E supplementation has a significant effect in ameliorating sign and symptoms of UTI. However, further studies are recommended to confirm these findings.

Written by:
Yousefichaijan P, Kahbazi M, Rasti S, Rafeie M, Sharafkhah M.   Are you the author?
Students Research Committee, School of Medicine, Arak University of Medical Sciences, Arak, Iran.  

Reference: Iran J Kidney Dis. 2015 Mar;9(2):97-104.

PubMed Abstract
PMID: 25851287 Infections Section