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Imaging after urinary tract infection reconsidered

https://doi.org/10.1136/adc.88.6.522

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    Researchers in three US centres (Pittsburgh, Pennsylvania; Columbus, Ohio; and Boston, Massachusetts) have offered a minimalist view of the necessity for imaging studies after urinary infection in young children (

    Aljandro Hoberman and colleagues. New England Journal of Medicine2003;348:195–202; see also editorial ibid: 251–2
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    ).

    They studied 309 children aged 1 to 24 months with a first febrile urinary tract infection (10 or more white cells per cubic millimeter in uncentrifuged urine, 1 or more gram-negative rods per 10 oil-immersion fields, and 50000 or more colony forming units of a single pathogen from a catheter specimen). All 309 children had a renal ultrasound scan and a technetium-99m-labelled dimercaptosuccinic acid (DMSA) scintigram …

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