Urography and voiding cystourethrography: findings in girls with urinary tract infection

Bisset, rd Gs; Strife, J L; Js, Dunbar

doi:10.2214/ajr.148.3.479

Cited by 58 publications

(17 citation statements)

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“…In this condition, which occurs in 30% to 40% of children who have had a UTI, 9 urine flows backward toward the kidneys during bladder contraction. VUR is associated with an increased risk of recurrent UTI and renal scarring, [10][11][12] but it is neither necessary nor sufficient for either of these outcomes. 3,[13][14][15][16][17] In recent years, there has been increased appreciation that other factors, such as bladder and bowel dysfunction (BBD) 18 and defects in innate immunity, 19,20 may also be important contributors to the recurrence of UTI.…”

Section: What This Study Addsmentioning

confidence: 99%

Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring

et al. 2015

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OBJECTIVES: To identify risk factors for recurrent urinary tract infection (UTI) and renal scarring in children who have had 1 or 2 febrile or symptomatic UTIs and received no antimicrobial prophylaxis.METHODS: This 2-year, multisite prospective cohort study included 305 children aged 2 to 71 months with vesicoureteral reflux (VUR) receiving placebo in the RIVUR (Randomized Intervention for Vesicoureteral Reflux) study and 195 children with no VUR observed in the CUTIE (Careful Urinary Tract Infection Evaluation) study. Primary exposure was presence of VUR; secondary exposures included bladder and bowel dysfunction (BBD), age, and race. Outcomes were recurrent febrile or symptomatic urinary tract infection ( F/S UTI) and renal scarring.RESULTS: Children with VUR had higher 2-year rates of recurrent F/S UTI (Kaplan-Meier estimate 25.4% compared with 17.3% for VUR and no VUR, respectively). Other factors associated with recurrent CONCLUSIONS: VUR and BBD are risk factors for recurrent UTI, especially when they appear in combination. Strategies for preventing recurrent UTI include antimicrobial prophylaxis and treatment of BBD. WHAT'S KNOWN ON THIS SUBJECT:Vesicoureteral reflux is recognized as an important risk factor for recurrent urinary tract infection and renal scarring. Less is known about the contribution of other risk factors to these outcomes. WHAT THIS STUDY ADDS:This study found that information about vesicoureteral reflux and bladder and bowel dysfunction can be used to identify children at low, medium, and high risk of recurrent urinary tract infection, information that clinicians could use to select children for specific preventive therapies.

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Section: What This Study Addsmentioning

confidence: 99%

Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring

et al. 2015

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“…11,12 The basis for this VUR screening and treatment strategy is a theoretical model that links VUR to an increased risk of recurrent UTI and renal scarring. [13][14][15] However, there is a paucity of evidence for this model, 9 and recent small clinical trials evaluating the efficacy of prophylaxis have demonstrated no protective effect for preventing recurrent UTI and renal scarring. 5,16 Moreover, concerns have been raised about the potential harm of antimicrobial prophylaxis because of its potential to breed resistant organisms that can cause recurrent UTIs.…”

Section: Stimates Of Cumulative Inci-mentioning

confidence: 99%

Recurrent Urinary Tract Infections in Children

Conway¹,

Cnaan²,

Zaoutis³

et al. 2007

JAMA

354

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“…10 Voiding urethrocystography assesses the anatomy of the urinary bladder and urethra, and the presence of vesicoureteral reflux. 11 Radioisotopic cystography is used in the follow-up of vesicoureteral reflux. Renal scintigraphy provides information about the renal function and anatomy.…”

Section: Materials a N D Methodsmentioning

confidence: 99%

Alterações anatômicas em pacientes com nefrolitíase

Peres¹,

Ferreira²,

Beppu³

et al. 2010

J. Bras. Nefrol.

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Introduction: Nephrolithiasis is a multifactorial disease related to genetic disorders and environmental factors. Kidney stones are more common in adults and are associated with several metabolic and anatomical disorders. The major anatomical abnormalities, such as obstruction of the ureteropelvic junction, horseshoe kidney, complete or incomplete duplicated ureter, bifid pelvis, and medullary sponge kidney, are known to be responsible for stone formation. The objective of this study is to evaluate anatomical alterations in patients with nephrolithiasis in our region. Methods: Retrospective study on 1,378 patients with evidence of recent formation of kidney stones. Laboratory investigation and chemical analysis were performed when stones were available. Renal imaging techniques comprised at least renal ultrasound and excretory urography. Results: Of the 1,378 patients with nephrolithiasis cared for, only 367 (26.5%) (mean age, 36.8 ± 4.3 years) underwent anatomical investigation, of whom 198 (54.5%) were females. At least one anatomical alteration was found in 132 (36%) patients, the most common being renal cyst, completely or incompletely duplicated ureter, and obstruction of the ureteropelvic junction. Conclusions: Anatomical alterations were found in 36% of the investigated patients. Renal cyst, ureteral duplication, and obstruction of the ureteropelvic junction were the most frequently found anatomical alterations in the group.

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Urography and voiding cystourethrography: findings in girls with urinary tract infection

Cited by 58 publications

References 0 publications

Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring

Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring

Recurrent Urinary Tract Infections in Children

Alterações anatômicas em pacientes com nefrolitíase

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