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Article in Japanese

Usefulness of renal ultrasonography in children with the first febrile urinary tract infection (fUTI)

Koji KATO, Shinya HARA

Background: Although the American Academy of Pediatrics currently recommends renal ultrasonography (RUS) for screening renal abnormalities in children with febrile urinary tract infection (fUTI), there is a lack of consensus regarding its usefulness.
Objectives: To assess the usefulness of RUS as a first-line examination in the management of children with the first fUTI.
Methods: In this retrospective study, children with the first fUTI were diagnosed at 36 months of age or younger, and admitted to hospital between January 2004 and October 2013. When children with fUTI had abnormal RUS findings, voiding cystourethrography was evaluated, and when it detected high grade vesicoureteric reflux, antimicrobial prophylaxis was used to prevent recurrences. Primary outcomes were recurrences of fUTI or surgical treatment required.

Department of Pediatrics, Toyota Memorial Hospital

Key words
Received January 20, 2015
Accepted May 20, 2015

27 (2):135─142,2015