Clinical Efficacy of a Top-down Approach for Children with a First Febrile Urinary Tract Infection
نویسندگان
چکیده
منابع مشابه
The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection
The evaluation of children presenting with urinary tract infection (UTI) has long entailed sonography and cystography to identify all urological abnormalities that might contribute to morbidity. The identification of vesicoureteral reflux (VUR) has been of primary concern since retrospective studies from the 1930s to 1960s established a strong association between VUR, recurrent UTI, and renal c...
متن کاملTop-down approach for evaluation of urinary tract infection.
c a anagement of vesicoureteral reflux (VUR) involves as uch controversy as management of prostate cancer. magine if there was an easily available serum or radioraphic test that could definitively determine whether a an with prostate cancer would have any local spread of he disease, and whether it would ever cause any sympoms. Would not that test replace prostate-specific antien (PSA) or any ot...
متن کاملProcalcitonin as a predictor of vesicoureteral reflux in children with a first febrile urinary tract infection.
OBJECTIVE A first febrile urinary tract infection leads to the diagnosis of vesicoureteral reflux in 20% to 40% of children. Systematic voiding cystourethrography then is recommended. However, for 60% to 80% of the children, voiding cystourethrography is a posteriori normal. Moreover, it is irradiating, painful, and expensive. Thus, selective approaches are needed. Because procalcitonin has bee...
متن کاملRadiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above?
The proper algorithm for the radiographic evaluation of children with febrile urinary tract infection (FUTI) is hotly debated. Three studies are commonly administered: renal-bladder ultrasound (RUS), voiding cystourethrogram (VCUG), and dimercapto-succinic acid (DMSA) scan. However, the order in which these tests are obtained depends on the methodology followed: bottom-up or top-down. Each stra...
متن کاملThe Relationship between Chronic Constipation and Urinary Tract Infection in Children: A Case-Control Clinical Study
Background Urinary tract infection (UTI) is one of the most common bacterial infections in children, if not diagnosed leads to serious complications such as hypertension, chronic renal failure and renal scar. Constipation is one of the main risk factors for recurrent UTI. The aim of present study was to investigate the relationship between chronic constipation and urinary tract infection in c...
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ژورنال
عنوان ژورنال: Childhood Kidney Diseases
سال: 2017
ISSN: 2384-0242,2384-0250
DOI: 10.3339/jkspn.2017.21.2.114