The value of renal ultrasound in children with a first episode of urinary tract infection.

Annals of Saudi Medicine
Layla AlshamsamEsam Al Banyan

Abstract

Urinary tract infection (UTI) is a common pediatric problem. Guidelines recommend obtaining a renal ultrasonogram (RUS) for young children after a first UTI. Our aim was to assess the value of routine RUS in the management of children hospitalized with a first episode of UTI. We conducted a retrospective review of the medical records of 130 children 12 years of age or younger admitted with a first UTI. Children were excluded if they had a urinary tract abnormality before admission and/or had been treated with an antibacterial agent within 7 days before admission. The yield of RUS was measured by ability to detect renal abnormalities, by the sensitivity and specificity for detecting vesicoureteral reflux (VUR) using voiding cystourethrogram (VCUG) as a gold standard, and by its influence on UTI management. RUS was conducted in 130 children, but only 118 returned for a VCUG and were included in the study. The findings were positive for VUR in 20 of 40 patients (50%) with a confirmed VUR on VCUG and positive in 18 of 78 patients (23.1%) without VUR on VCUG. Of the 20 patients with a normal RUS who showed VUR, 2 had grade I reflux, 8 had grade II reflux, 7 had grade III reflux and 3 had grade IV reflux. The sensitivity, specificity...Continue Reading

Citations

Jul 6, 2016·The Cochrane Database of Systematic Reviews·Nader ShaikhStephanie W Hum
Sep 24, 2015·AJR. American Journal of Roentgenology·Sowdhamini S WallaceRobert C Orth
Jun 17, 2016·Scandinavian Journal of Urology·Mikhail SaltychevTimo Hurme
Mar 22, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Kanita Lertdumrongluk, Paungpaga Lertdumrongluk
Jul 22, 2021·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Mariam AlrasheedySalihah Attiah Alsamiri

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