Imagerie de première intention dans l'infection urinaire de l'enfant

Guillot, M; Eckart, P; Dacher, JN

doi:10.1016/s0929-693x(98)80150-4

Cited by 14 publications

(1 citation statement)

References 11 publications

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“…In the authors' experience, renal ultrasonography performed in the acute phase of the first episode of symptomatic UTI provides little help in establishing the diagnosis of APN, which is in accordance with that found in the literature (22). Even so, it is safe and may help in the diagnosis of other nephrourological conditions, and it seems advisable to perform such in all cases.…”

Section: Discussionsupporting

confidence: 81%

Risk factors in the development of early technetium‐99m dimercaptosuccinic acid renal scintigraphy lesions during first urinary tract infection in children

Fernández-Menéndez

Matesanz

et al. 2003

Acta Paediatrica

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Fernández-Menéndez JM, Málaga S, Matesanz JL, Solís G, Alonso S, Pérez-Méndez C. Risk factors in the development of early technetium-99m dimercaptosuccinic acid renal scintigraphy lesions during first urinary tract infection in children. Acta Paediatr 2003; 92: 21-26. Stockholm. ISSN 0803-5253Aim: To establish the variables that correlate with uptake defects in dimercaptosuccinic acid (DMSA) scintigraphy performed in the acute phase of a first episode of urinary tract infection (UTI). Methods: A prospective observational study was conducted in a cohort of 158 consecutive children with a first episode of symptomatic UTI. The therapeutic delay time (TDT) was recorded. DMSA scintigraphy was performed in all children and voiding cystourethrography in 150 of them. Results: 85% of the patients were younger than 2 y. Mean TDT was 33.5 h. The aetiological agent was Escherichia coli in 140 children. DMSA scintigraphy was normal in 81. Vesicoureteric reflux was detected in 33. After a multivariate logistic regression analysis the following variables were retained in the final model: TDT !48 h, growth of bacteria other than E. coli, percentage of polymorphonuclear cells !60% and C-reactive protein !30 mg l À1 .Conclusion: TDT !48 h, bacteria other than E. coli, percentage of polymorphonuclear cells !60% and CRP !30 mg l À1 influence the findings detected in the DMSA scintigraphy performed in the acute phase of a first episode of UTI.

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Section: Discussionsupporting

confidence: 81%