Article Text

Download PDFPDF
P178 The value of ultrasound in young children with urinary tract infection
  1. Ramona Stroescu,
  2. Mihai Gafencu,
  3. David Vlad,
  4. Teofana Bizerea,
  5. Otilia M&acaron;rginean,
  6. Gabriela Doroş
  1. ’Louis Ţurcanu’ Emergency Hospital for Children, Timişoara, România, University of Medicine and Pharmacy ‘ Victor Babeş’ Timişoara, România


Malformations are among the main causes of renal disease in children, affecting 1% of the general population. Urinary tract infection is a common paediatric problem and vesicoureteral reflux is its most common complication. Aim: Assessing the need to perform a renal ultrasound as a screening method for malformations in young children with urinary tract infections. Material and methods: Renal ultrasounds were performed on 129 patients with urinary tract infections hospitalised during April 2016 – February 2017. The patients were aged between 0.4 months – 10 years, with an average of 3 years±2.5 months. Of these, 80 patients (62%) had a normal renal ultrasound report. Results: The most common finding was congenital hydronephrosis: grade I–II (30 patients – 61.2%), grade III–IV (7 patients – 14.2%) and grade V (3 patients – 6.1%). As causes of hydronephrosis, ureteropelvic junction (UPJ) obstruction was found in 18 patients (45%), vesicoureteral reflux (VUR) in 6 patients (15%) and obstructive megaureter in 4 patients (10%). Other malformations included 3 cases of renal cystic dysplasia, 4 cases of duplicated collecting system and 2 cases of unilateral renal agenesis. Discussions: Cases of low grade hydronephrosis were monitored by ultrasound; patients with history of more than 2 infections underwent cystography/voiding urosonography (5 versus 11 cases); 10 patients benefited from superior imaging, which confirmed ultrasound findings in all cases; 10 patients (25%) required surgery. Conclusions: Renal ultrasound is important in order to establish a complete diagnosis and subsequent monitoring of these cases. Voiding urosonography is a reliable, sensitive, safe and radiation-free method of investigation of vesicoureteric reflux in children.

  • renal ultrasound
  • screening
  • urinary tract infections

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.