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  • Renal and bladder ultrasound is important but yields incomplete screening for genitourinary abnormalities in young children with urinary tract infection

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Diagnosis
Cohort study
Renal and bladder ultrasound is important but yields incomplete screening for genitourinary abnormalities in young children with urinary tract infection
  1. Sabah-e-Noor Servaes
  1. Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
  1. Correspondence to : Dr Sabah-e-Noor Servaes, Department of Radiology, Children's Hospital of Philadelphia, 34th St. and Civic Center Blvd, Philadelphia, PA 19104, USA; servaes{at}email.chop.edu

http://dx.doi.org/10.1136/ebmed-2014-110005

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    Commentary on: Nelson CP, Johnson EK, Logvinenko T, et al. Ultrasound as a screening test for genitourinary anomalies in children with UTI. Pediatrics 2014;133:e394–403.OpenUrlAbstract/FREE Full Text

    Context

    The American Academy of Pediatrics guidelines for a young child with a febrile urinary tract infection (UTI) state that renal and bladder ultrasound (RBUS) should be performed and, if abnormal, then a voiding cystourethrogram (VCUG) should be performed. The purpose of this study was to determine the positive and negative predictive value of RBUS for vesicoureteral reflux in children aged 2-24 months with their first febrile UTI.

    Methods

    With institutional review board approval, records of patients who underwent RBUS and VCUG on the same day over a 5-year period were reviewed. Children younger than 5 years old without prior genitourinary imaging and with a history of UTI were included. Reports of the …

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.