© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
PERSPECTIVE
Urology
Time to review the value of imaging after urinary tract infection in infants
Correspondence to:
Correspondence to:
Dr K Verrier Jones
Children’s Kidney Centre for Wales, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, Wales, UK; verrier-jones@cf.ac.uk
Commentary on the paper by Moorthy et al (see page 733)
Keywords: urinary tract infection; cystography; radiology
| The first 150 words of the full text of this article appear below. |
Early descriptions of childhood urinary tract infection (UTI) focused on findings at postmortem examination or children referred to hospital because of chronic or recurrent infection often persisting for months or years.1 Many of these children had gross vesicoureteric reflux (VUR), chronic pyelonephritis, and sometimes other serious underlying anomalies such as neurogenic bladder.2 Further investigation revealed proteinuria, hypertension, anaemia, complicated pregnancies, and impaired renal function. Long term follow up studies have supported this impression, and in a significant proportion of children and adults, end stage renal failure is thought to be due to chronic pyelonephritis.3 Such cases were often collected over many years and brought together for the purpose of describing the constellation of symptoms to other health professionals, with a view to identifying diseases and syndromes and starting to understand their causes and prevention. These early studies were not generally epidemiological studies but highly selected groups who showed the
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- The presence of vesicoureteric reflux does not identify a population at risk for renal scarring following a first urinary tract infection
- I Moorthy, M Easty, K McHugh, D Ridout, L Biassoni, and I Gordon
Arch. Dis. Child. 2005 90: 733-736.[Abstract] [Full Text] [PDF]
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