Imaging Studies after a First Febrile Urinary Tract Infection in Young Children

From the Departments of Pediatrics (A.H., R.W.H., E.R.W.) and Radiology (M.C.), University of Pittsburgh School of Medicine and Children’s Hospital of Pittsburgh, Pittsburgh; the Department of Pediatrics, Ohio State University and Columbus Children’s Hospital, Columbus (R.W.H.); the Department of Pediatrics, Harvard Medical School and Children’s Hospital, Boston (M.B.); and the Division of General Academic Pediatrics, Children’s Hospital of Pittsburgh, Pittsburgh (D.H.K.). Address reprint requests to Dr. Hoberman at Children’s Hospital of Pittsburgh, 3705 5th Ave., Pittsburgh, PA 15213-2583, or at [email protected]. N Engl J Med 2003;348:195-202. Copyright © 2003 Massachusetts Medical Society. background Guidelines from the American Academy of Pediatrics recommend obtaining a voiding cystourethrogram and a renal ultrasonogram for young children after a first urinary tract infection; renal scanning with technetium-99m–labeled dimercaptosuccinic acid has also been endorsed by other authorities. We investigated whether imaging studies altered management or improved outcomes in young children with a first febrile urinary tract infection.