Michael Riccabona1. 1. Division of Paediatric Radiology, Department of Radiology, Universität Hospital LKH Graz, Auenbruggerplatz 34, 8036, Graz, Austria. michael.riccabona@klinikum-graz.at.
Abstract
INTRODUCTION: Urinary tract infection (UTI) is a common query in pediatric radiology. Imaging for and after UTI is still a heavily debated topic with different approaches, as thorough evidence to decide upon a definite algorithm is scarce. CONTENT AND OBJECTIVE: This review article tries to address the clinical rational of the various approaches (general imaging, top-down or bottom-up, selected and individualized imaging concepts…), describes the available imaging modalities and the respective findings in imaging children with UTI, and proposes an imaging algorithm for the work-up of children during and after UTI discussing the "pros and cons" of the different attitudes. CONCLUSION: In summary, imaging by US is generally considered for all infants and children with a febrile or complicated (upper) UTI, particularly without previously known urinary tract anatomy. The further work-up (searching for renal scarring and assessment of vesico-ureteric reflux) is then decided according to these initial findings as well as the clinical presentation, course, and scenario.
INTRODUCTION:Urinary tract infection (UTI) is a common query in pediatric radiology. Imaging for and after UTI is still a heavily debated topic with different approaches, as thorough evidence to decide upon a definite algorithm is scarce. CONTENT AND OBJECTIVE: This review article tries to address the clinical rational of the various approaches (general imaging, top-down or bottom-up, selected and individualized imaging concepts…), describes the available imaging modalities and the respective findings in imaging children with UTI, and proposes an imaging algorithm for the work-up of children during and after UTI discussing the "pros and cons" of the different attitudes. CONCLUSION: In summary, imaging by US is generally considered for all infants and children with a febrile or complicated (upper) UTI, particularly without previously known urinary tract anatomy. The further work-up (searching for renal scarring and assessment of vesico-ureteric reflux) is then decided according to these initial findings as well as the clinical presentation, course, and scenario.
Authors: K Darge; J Troeger; T Duetting; B Zieger; W Rohrschneider; K Moehring; C Weber; B Toenshoff Journal: Radiology Date: 1999-01 Impact factor: 11.105
Authors: Christoph Rudin; Guido Laube; Rodo von Vigier; Thomas J Neuhaus; Michael Buettcher; Johannes Trueck; Anita Niederer-Loher; Ulrich Heininger; Philipp Agyeman; Sandra Asner; Christoph Berger; Julia Bielicki; Christian Kahlert; Lisa Kottanattu; Patrick M Meyer Sauteur; Paolo Paioni; Klara Posfay-Barbe; Christa Relly; Nicole Ritz; Petra Zimmermann; Franziska Zucol; Rita Gobet; Sandra Shavit Journal: Eur J Pediatr Date: 2020-07-03 Impact factor: 3.183