scholarly journals Voiding Cystourethrography Is Mandatory in Infants with Febrile Urinary Tract Infection

2013 ◽  
Vol 231 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Takahisa Kimata ◽  
Tetsuya Kitao ◽  
Sohsaku Yamanouchi ◽  
Shoji Tsuji ◽  
Minoru Kino ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Voiding Cystourethrography ◽  
Febrile Urinary Tract Infection

Clinical Characteristics of Febrile Urinary Tract Infection and Application of Thai Guideline Imaging Recommendations Compared between Children Aged 2 Months to 2 Years and Children Aged 2 to 5 Years

2021 ◽  
Vol 104 (12) ◽  
pp. 1977-1983
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Imaging Study ◽  
Female Gender ◽  
Voiding Cystourethrography ◽  
Older Children ◽  
Febrile Urinary Tract Infection ◽  
Febrile Uti ◽  
Imaging Recommendations

Background: In 2014, the Thai Pediatric Nephrology Association (TPNA) launched a guideline for febrile urinary tract infection (UTI) in children aged two months to five years. Renal and bladder ultrasound (RBUS) is recommended for first febrile UTI, and voiding cystourethrography (VCUG) is recommended in patients with at least one of eight proposed risk factors. Objective: To compare characteristics of febrile urinary tract infection (UTI), compliance with the imaging study recommendation regarding to the TPNA guide, and kidney, ureter, and bladder (KUB) abnormality detections between children aged two months to two years and older than two years to five years. Materials and Methods: The present study was a retrospective study, reviewed children aged two months to five years presenting with first or recurrent episode of febrile UTI between 2014 and 2019 at Siriraj Hospital. Clinical parameters during febrile UTI, indications to perform VCUG, and kidney, ureter, and bladder (KUB) abnormality detections were compared between the younger group and the older group. RBUS and VCUG undergone according to the recommendation were accounted for the compliance. Results: The mean age of 259 younger and of 51 older age children was 8.2±5.6 and 40.0±10.9 months, respectively. Female gender (p=0.01), complaint of constipation (p=0.03), abnormal bladder emptying (p<0.01), and renal impairment (p=0.03) were more frequent in the older than the younger. Overall imaging study compliance was 73.9% and the KUB abnormality detection was 16.5%. High-grade vesicoureteral reflux (VUR) was more common than low-grade VUR. The rates of compliance (p=0.45) and KUB abnormality detections (p=0.54) between the younger and older children were not different. Conclusion: Female gender, and bladder and bowel dysfunction were associated to febrile UTI in older children. The TPNA febrile UTI guideline imaging recommendation was shown to be applicable in both younger and older children. Keywords: Clinical characteristics; Febrile urinary tract infection; Thai guideline imaging recommendations; Renal and bladder ultrasound; Voiding cystourethrography

Timing of voiding cystourethrography after febrile urinary tract infection in children: a systematic review

2019 ◽  
Vol 105 (3) ◽  
pp. 264-269 ◽  
Author(s):  
Sara Mazzi ◽  
Katharina Rohner ◽  
Wesley Hayes ◽  
Marcus Weitz
Keyword(s):  
Systematic Review ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antibiotic Therapy ◽  
Detection Rate ◽  
Vesicoureteric Reflux ◽  
Voiding Cystourethrography ◽  
Febrile Urinary Tract Infection ◽  
Number Of Patients

BackgroundDespite a trend towards early voiding cystourethrography (VCUG) after febrile urinary tract infection (fUTI) in children, clinical guidelines do not comment on the optimal timing and current practice varies considerably.ObjectiveTo assess whether the detection rate of vesicoureteric reflux (VUR) in children depends on the time period of VCUG procedure after onset of antibiotic therapy.MethodsMEDLINE, EMBASE and Cochrane Controlled Trials Register electronic databases were searched for eligible studies without language or time restriction (19 November 2018). Inclusion criteria were (1) patients <18 years of age; (2) VCUG performed in patients with fUTI after onset of antibiotic therapy either in the same patient population or in two or more different patient populations within one study at different time periods; and (3) with reported detection rate of VUR. The systematic review was carried out following the recommendations of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.ResultsOf 4175 records, nine studies were included (number of patients, n=1745) for the main outcome prevalence of VUR by VCUG <8 days compared with VCUG ≥8 days after onset of antibiotic therapy. Pooled overall prevalence of VUR was not significantly different between the early and the late VCUG groups (risk ratio 0.98, 95% CI 0.81 to 1.19). Prevalence of VUR stratified by grade was not significantly different between the two groups.ConclusionEarly VCUG within 8 days after onset of antibiotic therapy does not affect the prevalence of VUR.Trial registration numberCRD42018117545

scholarly journals Voiding cystourethrography in children with an initial episode of febrile urinary tract infection

2006 ◽  
Vol 49 (6) ◽  
pp. 653 ◽  
Author(s):  
Hae Jeong Lee ◽  
Won Deok Lee ◽  
Hyun Seok Kim ◽  
Tae Hong Kim ◽  
Joo Seok Lee ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Voiding Cystourethrography ◽  
Febrile Urinary Tract Infection ◽  
Initial Episode
Sign in / Sign up

Export Citation Format

Share Document