Ultrasonography After the First Febrile Urinary Tract Infection in Children

Overview

Journal Eur J Pediatr

Specialty Pediatrics

Date 2006 Mar 28

PMID 16565830

Citations 8

Authors

Timo Jahnukainen

Olli Honkinen

Olli Ruuskanen

Jussi Mertsola

Affiliations

Soon will be listed here.

Abstract

Unlabelled: The importance of ultrasonography after the first febrile urinary tract infection has been recently challenged. The aim of this study was to evaluate the role of ultrasonography in detection of significant non-reflux abnormalities in the kidneys and the urinary tract, and to determine whether these findings influence treatment in these children. The clinical data and ultrasonography results of 155 children admitted to a university hospital with the first febrile urinary tract infection were analysed retrospectively. Renal ultrasonography was abnormal in 23 patients (14.8%). The major portion of these patients (81%) were younger than 2 years of age. Management of nine of these patients was changed based primarily on ultrasonography findings. Four of these patients were treated operatively.

Conclusion: Our findings indicate that ultrasonography performed after the first urinary tract infection may offer clinically important information about non-reflux abnormalities in the kidneys and urinary tract that can affect the management of children with these complications.

Citing Articles

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The combination of urinary IL - 6 and renal biometry as useful diagnostic tools to differentiate acute pyelonephritis from lower urinary tract infection.

Azab S, Zakaria M, Raafat M, Seief H Int Braz J Urol. 2016; 42(4):810-6.

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Practical approach to screen vesicoureteral reflux after a first urinary tract infection.

Alvarez Fuente M, Costa T, Santiago Garcia B, Serrano M, Alonso M, Aleo Lujan E Indian J Urol. 2014; 30(4):383-6.

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Ultrasound as a screening test for genitourinary anomalies in children with UTI.

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