The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection
The evaluation of children presenting with urinary tract infection (UTI) has long entailed sonography and cystography to identify all urological abnormalities that might contribute to morbidity. The identification of vesicoureteral reflux (VUR) has been of primary concern since retrospective studies...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2009/783409 |
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| _version_ | 1832565443713302528 |
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| author | Hans G. Pohl A. Barry Belman |
| author_facet | Hans G. Pohl A. Barry Belman |
| author_sort | Hans G. Pohl |
| collection | DOAJ |
| description | The evaluation of children presenting with urinary tract infection (UTI) has long entailed sonography and cystography to identify all urological abnormalities that might contribute to morbidity. The identification of vesicoureteral reflux (VUR) has been of primary concern since retrospective studies from the 1930s to 1960s established a strong association between VUR, recurrent UTI, and renal cortical scarring. It has been proposed that all VUR carries a risk for renal scarring and, therefore, all VUR should be identified and treated. We will not discuss the controversies surrounding VUR treatment in this review focusing instead on a new paradigm for the evaluation of the child with UTI that is predicated on identifying those at risk for scarring who are most deserving of further evaluation by cystography. |
| format | Article |
| id | doaj-art-4eb7231cec694b1c80ce26033cae1953 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-4eb7231cec694b1c80ce26033cae19532025-02-03T01:07:33ZengWileyAdvances in Urology1687-63691687-63772009-01-01200910.1155/2009/783409783409The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract InfectionHans G. Pohl0A. Barry Belman1Division of Urology, Children's National Medical Center, Washington, DC 20010, USADivision of Urology, Children's National Medical Center, Washington, DC 20010, USAThe evaluation of children presenting with urinary tract infection (UTI) has long entailed sonography and cystography to identify all urological abnormalities that might contribute to morbidity. The identification of vesicoureteral reflux (VUR) has been of primary concern since retrospective studies from the 1930s to 1960s established a strong association between VUR, recurrent UTI, and renal cortical scarring. It has been proposed that all VUR carries a risk for renal scarring and, therefore, all VUR should be identified and treated. We will not discuss the controversies surrounding VUR treatment in this review focusing instead on a new paradigm for the evaluation of the child with UTI that is predicated on identifying those at risk for scarring who are most deserving of further evaluation by cystography.http://dx.doi.org/10.1155/2009/783409 |
| spellingShingle | Hans G. Pohl A. Barry Belman The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection Advances in Urology |
| title | The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection |
| title_full | The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection |
| title_fullStr | The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection |
| title_full_unstemmed | The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection |
| title_short | The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection |
| title_sort | top down approach to the evaluation of children with febrile urinary tract infection |
| url | http://dx.doi.org/10.1155/2009/783409 |
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