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The justification for early radiological investigations of urinary-tract infection in children
Lancet (London, England)
|August 30, 1975
Insights
Radiological investigations are recommended after a child
Area of Science:
- Pediatric Radiology
- Pediatric Urology
- Infectious Diseases
Background:
- Urinary tract infections (UTIs) are common in children.
- Radiological imaging is often used to evaluate the urinary tract in pediatric patients with UTIs.
- Identifying structural abnormalities can help prevent recurrent infections and kidney damage.
Purpose of the Study:
- To determine the diagnostic yield of radiological investigations in children presenting with their first urinary tract infection.
- To compare the abnormality rates between boys and girls.
Main Methods:
- A cohort of 97 children (67 girls, 30 boys) with apparent first UTIs underwent radiological assessment.
- Intravenous pyelogram (IVP) and micturating cystourethrogram (MCUG) were performed.
- Abnormality rates for each imaging modality and combined were analyzed.
Main Results:
- IVP abnormalities were found in 15.5% of girls and 33% of boys.
- MCUG abnormalities were detected in 34% of girls and 39% of boys.
- Combined imaging revealed abnormalities in 41% of all children studied.
Conclusions:
- Radiological investigation of the renal tract is warranted after the first documented UTI in children.
- The combined use of IVP and MCUG increases the detection rate of urinary tract abnormalities.
- Early detection and management of abnormalities can potentially reduce long-term complications.
Abstract:
97 children, 67 girls aged 0-13 years and 30 boys aged 0-11 years, with apparent first urinary-tract infections were investigated radiologically. The intravenous pyelogram was abnormal in 15.5% of the girls and 33% of the boys and the micturating cystourethrogram was abnormal in 34% of the girls and 39% of the boys. When both examinations were combined the abnormality-rate rose to 41% in the two sexes. Accordingly, radiological investigation of the renal tract is recommended after the first proven urinary tract infection.
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