Abstract
The main purpose of the study was to see whether excretory urography (EU) can be safely replaced by ultrasound (US) in children with urinary tract infection (UTI) younger than 6 years. 101 hospitalised children were admitted to the prospective study. They were all diagnosed as having UTI and were treated accordingly. All children had voiding cystography (VCU), EU and US done. US and EU correlated well in 94% of the cases. In all 6 cases with discrepancy between EU and US, the VCU was abnormal. Our results confirm the data from other authors, that VCU and US should be sufficient as an initial work-up on children with UTI, while EU should be done only in the cases with abnormal findings on either one or both of the former investigations. However, it should be kept in mind that some cases of parenchymal involvement or mild subpelvic stenosis can be missed using this protocol. If EU is obtained only in the cases with abnormal US and/or VCU, only 55 children (54%) in our group would have had an EU done.
Similar content being viewed by others
References
White RHR (1987) Management of urinary tract. Arch Dis Child 62: 421
Bourchier D, Abbot GD, Maling TMJ (1984) Radiological abnormalities in infants with urinary tract infections. Arch Dis Child 59: 620
Sherwood T, Whitaker RH (1983) Initial screening of children with urinary tract infections: is plain film radiography enough? Br Med J 288: 827
Leonidas JC, McCauley RGK, Klauber, GC, Fretzayas AM (1985) Sonography as a substitute for excetory urography in children with urinary tract infection. AJR 144: 815
Kangarloo H, Gold RH, Fine RN, Diament MJ, Boechat MI (1985) Urinary tract infection in infants and children evaluated by ultrasound. Radiology 154: 367
Johnson CE, DeBaz BP, Shurin PA, DeBartolomeo R (1986) Renal ultrasound evaluation of urinary tract infections in children. Pediatrics 78: 871
Alon U, Pery M, Davidai G, Berant M (1986) Ultrasonography in the radiologic evaluation of children with urinary tract infection. Pediatrics 78: 58
Honkinen O, Ruuskanen O, Rikalainen H, Makinen EO, Valimaki I (1986) Ultrasonography as a screening procedure in children with urinary tract infection. Pediatr Infect Dis 5: 633
Blickman JG, Taylor GA, Lebowitz RL (1985) Voiding cystourethrography: the initial radiologic study in children with urinary tract infection. Radiology 156: 659
Kenda RB, Accetto M, Lampreht-Rijavec Z (1983) A urine collector for separating the initial, midstream and final portions of voided urine in infancy and early childhood. Int J Pediatr Nephrol 4: 201
Lebowitz RL, Olbing H, Parkkulainen KV, Smelie JM, Tamminen-Mobius TE (1985) International system of radiographic grading of vesicoureteric reflux. Pediatr Radiol 15: 105
Mason WG (1984) Urinary tract infections in children: renal ultrasound evaluation. Radiology 153: 109
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kenda, R., Kenig, T., Šilc, M. et al. Renal ultrasound and excretory urography in infants and young children with urinary tract infection. Pediatr Radiol 19, 299–301 (1989). https://doi.org/10.1007/BF02467297
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02467297