Reducing physician voiding cystourethrogram ordering in children with first febrile urinary tract infection: evaluation of a purposefully sequenced educational intervention

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Can Procalcitonin Reduce Unnecessary Voiding Cystoureterography in Children with First Febrile Urinary Tract Infection?

OBJECTIVE Recently, new predictors of vesicoureteral reflux (VUR) in children with a first febrile UTI such as Procalcitonin (PCT) were introduced as selective approaches for cystography. This study wants to show the capability of PCT in predicting presence of VUR at the first febrile UTI in children. METHODS Patients between 1 month and 15 years of age with febrile UTI were included in this ...

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Early performance of voiding cystourethrogram after urinary tract infection in children.

BACKGROUND Voiding cystourethrogram is performed 3-6 weeks after urinary tract infection. This prolongs the interval of prophylactics, reducing the likelihood of having to perform the procedure. OBJECTIVES To investigate the yield and potential risks/benefits of early compared to late performance of VCUG after UTI. METHODS We conducted a prospective study of 84 previously healthy children <...

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When is the best time for voiding cystourethrogram in urinary tract infection of children?

This study was conducted to investigate whether the length of the interval between a urinary tract infection and the performance of the voiding cystourethrogram influences the presence or severity of vesicoureteral reflux (VUR). In this study 161 children with first episode of urinary tract infection were evaluated. Depending on time of performance of voiding cystourethrogram (VCUG), patients d...

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when is the best time for voiding cystourethrogram in urinary tract infection of children?

this study was conducted to investigate whether the length of the interval between a urinary tract infection and the performance of the voiding cystourethrogram influences the presence or severity of vesicoureteral reflux (vur). in this study 161 children with first episode of urinary tract infection were evaluated. depending on time of performance of voiding cystourethrogram (vcug), patients d...

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Procalcitonin 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...

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ژورنال

عنوان ژورنال: Canadian Medical Education Journal

سال: 2018

ISSN: 1923-1202

DOI: 10.36834/cmej.42943