Role of DMSA in pediatric UTI.
نویسنده
چکیده
VUR, as the incidence of structural abnormalities associated with UTI is highest in this group. All young children with febrile UTI are at increased risk of acute pyelonephritis and it is difficult to differentiate upper from lower UTI in this age group. Therefore, it is recommended that all these episodes in young children be managed as pyelonephritis as they have the potential for renal scarring(2,3). The benefit of DMSA in an acute stage in this category is questionable and does not change the management of individual cases(4).
منابع مشابه
Commentary to 'Prevalence and risk factors for renal scars in children with febrile UTI and/or VUR: a cross-sectional observational study of 565 consecutive patients'.
PURPOSE To determine prevalence and risk factors for renal scar in children referred for urologic assessment of febrile UTI and/or VUR. METHODS Pre-determined risk factors for renal scar were prospectively recorded in consecutive patients referred for UTI/VUR. Age, gender, VUR grade, and reported number of febrile and non-febrile UTIs were analyzed with logistic regression to determine risk f...
متن کاملPrediction of Vesicoureteral Reflux in Children with First Urinary Tract Infection by Dimercaptosuccinic Acid and Ultrasonography
OBJECTIVE Urinary tract infection (UTI) is one of the most common causes of febrile pediatric diseases. Also, vesicoureteral reflux (VUR) is a significant risk factor for UTI. Voiding cystourethrography (VCUG) is the method of choice for evaluation of VUR. This study was done to predict VUR by DMSA scan (technetium 99 m-labeled dimercaptosuccinic acid) and ultrasonography (US). METHODS In a p...
متن کاملClinical Significance of Uptake Difference on DMSA Scintigraphy in Pediatric Urinary Tract Infection
Purpose: Disruption of normal renal development can lead to congenital anomalies of the kidney and urinary tract, including renal hypodysplasia. We aimed to clarify whether small kidney size affects clinical manifestations in children with urinary tract infection (UTI). Methods: One hundred fifty-four patients who had their first symptomatic UTI between January 2014 and June 2015 were enrolled ...
متن کاملDoppler ultrasonography in children with acute pyelonephritis in diagnosis of renal scar compared to DMSA scintigraphy
Background: Urinary tract infection (UTI) is one of the most important pediatric health problems, which is occasionally associated with irreversible renal damage. Dimercapto-succinic acid (DMSA) scan is a diagnostic standard for the renal scar. Doppler ultrasonography (D.S) has been considered as a less invasive method. The purpose of this study was to determine the sensitivity and specificity ...
متن کاملEvaluation of the use of DMSA in culture positive UTI and culture negative acute pyelonephritis.
This prospective study was done to assess the frequency of acute pyelonephritis (APN) in febrile children with positive urine culture as documented by Tc99m DMSA scintigraphy (DMSA) and the frequency of vesicoureteric reflux (VUR) in these children. Secondly, to determine the frequency of APN, in febrile children with supportive evidence for UTI but with negative urine culture, as documented by...
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ورودعنوان ژورنال:
- Indian pediatrics
دوره 43 3 شماره
صفحات -
تاریخ انتشار 2006