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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.
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 …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.