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Pediatric Nephrology

Erschienen in:

01.04.2012 | Original Article

Managing children under 36 months of age with febrile urinary tract infection: a new approach

verfasst von: Marco Pennesi, Ines L’Erario, Laura Travan, Alessandro Ventura

Erschienen in: Pediatric Nephrology | Ausgabe 4/2012

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Abstract

Background

Recent guidelines on urinary tract infection (UTI) agree on reducing the number of invasive procedures. None of these has been validated by a long-term study. We describe our 11-years experience in the application of a diagnostic protocol that uses a reduced number of invasive procedures.

Methods

We reviewed retrospectively the records of 406 children aged between 1 and 36 months at their first UTI. All patients underwent renal ultrasound (RUS). Children with abnormal RUS and those with UTI recurrences underwent voiding cystourethrography (VCUG) and dimercaptosuccinic acid (DMSA) renal scans.

Results

RUS after the first UTI was pathological in 7.4% children; 4.4 % had a second UTI. We performed 48 VCUG: 14 patients (29%) had vesicoureteral reflux (VUR), 12 of which showed an abnormal RUS while 2 had recurrent UTI. After DMSA renal scan renal damage appeared in only 6 of them (12.5%); all these children showed grade IV VUR.

Conclusions

The application of our guidelines leads to a decrease in invasive examinations without missing any useful diagnoses or compromising the child’s health.

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Titel: Managing children under 36 months of age with febrile urinary tract infection: a new approach
verfasst von: Marco Pennesi
Ines L’Erario
Laura Travan
Alessandro Ventura
Publikationsdatum: 01.04.2012
Verlag: Springer-Verlag
Erschienen in: Pediatric Nephrology / Ausgabe 4/2012
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-011-2087-3

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Managing children under 36 months of age with febrile urinary tract infection: a new approach

Abstract

Background

Methods

Results

Conclusions

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