Article Text

Download PDFPDF

PO-0783 Contribution Of Cystography In Infants With First Urinary Tract Infection
  1. S Hammami,
  2. A Ben Salah,
  3. H Besbès,
  4. S Hadded,
  5. MN Guédiche
  1. Pediatric, Fattouma Bourguiba Hospital, Monastir, Tunisia


Objectives To assess the yield of radiological retrograde uretrocystography (UCR) done systematically after a first episode of urinary tract infection (UTI) in infant less than 1 year.

Methodology A retrospective cohort study conducted in the Department of Paediatrics at Monastir included all patients between 1 month and 12 months who underwent UCR after a first episode of UTI between January 2000 and July 2013. Results: 203 infant were included, mean age was 5.69 months (peak was between 3–6 months). Fever was present in 190 infant (93.5%) of which 32 (15.7%) had prolonged fever. Germs found in culture were dominated by Escherichia coli present in 83% of children. CRP was positive in 88.6% of patients. Renal ultrasonography was performed in all cases and showed abnormalities in 57 cases (28%). The pyelocalicial dilatation was predominant (28 cases). The UCR showed abnormalities in 24 children which utrasonography findings were also abnormal. The most common abnormalities were primary vesico-ureteral reflux; 14 infants (6.9%) had high grade (bilateral in 7 cases). 6 patients (3%) had unilateral had low grade reflux in 3 cases and bilateral in 3 cases.

Conclusion As recommended, the indications of UCR in infants should be limited to abnormal ultrasound or recurrent UTI.

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.