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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
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Is omitting post urinary-tract-infection renal ultrasound safe after normal antenatal ultrasound? An observational

Dan Miron1, Ahmed Daas, Waheeb Sakran

  • 1Pediatric Department A, HaEmek Medical Center, Afula, Israel. miron_da@clalit.org.il

Archives of Disease in Childhood
|January 18, 2007
PubMed

Insights

Renal ultrasonograms (RUS) after a first urinary tract infection (UTI) in children show high concordance with prenatal scans. Omitting post-UTI RUS may be considered for children with normal antenatal findings, as post-infection anomalies often have negligible impact.

Area of Science:

  • Pediatric Nephrology
  • Diagnostic Imaging
  • Infectious Diseases

Background:

  • Current guidelines recommend renal ultrasonograms (RUS) for young children following a first urinary tract infection (UTI).
  • This practice aims to detect potential renal abnormalities.
  • The necessity of post-UTI RUS when prenatal imaging is available requires evaluation.

Purpose of the Study:

  • To evaluate the concordance between prenatal and post-urinary tract infection (UTI) renal ultrasonogram (RUS) findings in children under five.
  • To determine if prenatal RUS can reliably predict post-infection RUS results.
  • To assess the clinical significance of renal anomalies identified only after a UTI.

Main Methods:

  • A prospective study included 250 children aged 5 years or younger hospitalized with their first simple UTI.
  • Prenatal and post-UTI RUS data were collected for eligible participants.
  • Concordance rates and predictive values were calculated.

Main Results:

  • Complete concordance between prenatal and post-UTI RUS was observed in 96% of 209 children with available data.
  • The predictive value of a normal antenatal RUS for a normal post-UTI RUS was 96%.
  • Renal anomalies identified solely on post-UTI RUS had a negligible impact on management in eight children.

Conclusions:

  • Prenatal RUS demonstrates high concordance with post-UTI RUS in children under five.
  • Findings exclusively on post-UTI RUS typically do not alter patient management.
  • Consideration can be given to omitting post-UTI RUS in children with normal antenatal RUS findings.
Abstract

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