ArticlePediatric nephrology (Berlin, Germany)2012
Managing children under 36 months of age with febrile urinary tract infection: a new approach.
Article in Pediatric nephrology (Berlin, Germany), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Dimercaptosuccinic acid scan or ultrasound in screening for vesicoureteral reflux among children with urinary tract infections.The Cochrane database of systematic reviews · 2016Pooled it
- Diagnostic yield of urinary tract ultrasound in children following a first urinary tract infection: a retrospective cohort study.Pediatric radiology · 2026Article
- Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review.Pediatric radiology · 2023Review
- Uropathogens Antimicrobial Sensitivity and Resistance Pattern From Outpatients in Balochistan, Pakistan.Cureus · 2021Article
- Is ultrasonography mandatory in all children at their first febrile urinary tract infection?Pediatric nephrology (Berlin, Germany) · 2021Article
- Article
- Relevance of current guidelines in the management of VUR.European journal of pediatrics · 2014Review
- Five-year assessment of causative agents and antibiotic resistances in urinary tract infections.Turk pediatri arsivi · 2014Article
- History of recurrent urinary tract infection is not predictive of abnormality on voiding cystourethrogram.Pediatric surgery international · 2013Article
- Update on recent guidelines for the management of urinary tract infections in children: the shifting paradigm.Current opinion in pediatrics · 2013Review
- Urinary tract infection in pediatrics: an overview.Jornal de pediatriaReview
Corrections and comments
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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
backgroundRecent 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.
methodsWe 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.
resultsRUS 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.
conclusionsThe 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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