ArticleArchives of disease in childhood2000
Risk assessment of renal cortical scarring with urinary tract infection by clinical features and ultrasonography.
Article in Archives of disease in childhood, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Procalcitonin, C-reactive protein, and erythrocyte sedimentation rate for the diagnosis of acute pyelonephritis in children.The Cochrane database of systematic reviews · 2020Pooled it
- Procalcitonin, C-reactive protein, and erythrocyte sedimentation rate for the diagnosis of acute pyelonephritis in children.The Cochrane database of systematic reviews · 2015Pooled it
- Functional constipation as a risk factor for pyelonephritis and recurrent urinary tract infection in children.Acta paediatrica (Oslo, Norway : 1992) · 2023Article
- Clinical manifestations, laboratory markers, and renal ultrasonographic examinations in 1-month to 12-year-old Iranian children with pyelonephritis: a six-year cross-sectional retrospective study.BMC infectious diseases · 2021Article
- Predicting long-term renal damage in children with vesicoureteral reflux under conservative initial management: 205 cases in a tertiary referral center.Central European journal of urology · 2018Article
- The diagnosis, evaluation and treatment of acute and recurrent pediatric urinary tract infections.Expert review of anti-infective therapy · 2015Review
- The results of different diagnostic imaging studies used in children with urinary tract infection.Sudanese journal of paediatrics · 2015Article
- Urinary tract infection following kidney transplantation: frequency, risk factors and graft function.Pediatric nephrology (Berlin, Germany) · 2012Article
- Urine IL-8 concentrations in infectious and non-infectious urinary tract conditions.Pediatric nephrology (Berlin, Germany) · 2011Article
- Resistance against broad-spectrum beta-lactams among uropathogens in children.Pediatric nephrology (Berlin, Germany) · 2009Article
- Community-acquired enterococcal urinary tract infections.Pediatric nephrology (Berlin, Germany) · 2005Article
- The presence of vesicoureteric reflux does not identify a population at risk for renal scarring following a first urinary tract infection.Archives of disease in childhood · 2005Article
- The role of imaging in urinary tract infections.World journal of urology · 2004Review
- Ultrasonography in the evaluation of renal scarring using DMSA scan as the gold standard.Pediatric nephrology (Berlin, Germany) · 2004Article
- Renal scarring in children with febrile urinary tract infection.Jornal de pediatriaArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo address some of the issues in the ongoing debate over the optimal diagnostic imaging following childhood urinary tract infection (UTI), by determining the risk of missing renal cortical scarring which would be detected on a technetium-99m dimercaptosuccinic acid (DMSA) gold standard if ultrasound alone were used, factoring for clinical features (upper or lower tract), UTI recurrence, and age group (infants, preschool, or school age).
methodsDetails of UTI clinical features and recurrence were recorded for 990 children with a proven UTI, and their DMSA and ultrasound results were compared for each kidney.
resultsThe risks of missing DMSA scarring varied between 0.4% (school age children with solitary lower tract UTI) and 11.1% (infants with recurrent upper tract UTI).
conclusionsUTI clinical features are important in assessing the need for DMSA imaging. Current UK imaging guidelines are endorsed, although preschool children with solitary lower tract UTI remain a controversial group and more attention needs to focused on children with recurrent UTI.
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