The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased

Gelfand, M. J. ; Barr, L. L. ; Abunku, O.
Springer
Published 2000
ISSN:
1432-1998
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
Type of Medium:
Electronic Resource
URL:
_version_ 1798295875467870208
autor Gelfand, M. J.
Barr, L. L.
Abunku, O.
autorsonst Gelfand, M. J.
Barr, L. L.
Abunku, O.
book_url http://dx.doi.org/10.1007/s002470000291
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM202648087
issn 1432-1998
journal_name Pediatric radiology
materialart 1
notes Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
package_name Springer
publikationsjahr_anzeige 2000
publikationsjahr_facette 2000
publikationsjahr_intervall 7999:2000-2004
publikationsjahr_sort 2000
publisher Springer
reference 30 (2000), S. 665-670
search_space articles
shingle_author_1 Gelfand, M. J.
Barr, L. L.
Abunku, O.
shingle_author_2 Gelfand, M. J.
Barr, L. L.
Abunku, O.
shingle_author_3 Gelfand, M. J.
Barr, L. L.
Abunku, O.
shingle_author_4 Gelfand, M. J.
Barr, L. L.
Abunku, O.
shingle_catch_all_1 Gelfand, M. J.
Barr, L. L.
Abunku, O.
The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
1432-1998
14321998
Springer
shingle_catch_all_2 Gelfand, M. J.
Barr, L. L.
Abunku, O.
The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
1432-1998
14321998
Springer
shingle_catch_all_3 Gelfand, M. J.
Barr, L. L.
Abunku, O.
The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
1432-1998
14321998
Springer
shingle_catch_all_4 Gelfand, M. J.
Barr, L. L.
Abunku, O.
The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
Abstract Background. Pelvocalyceal dilatation (PCD) is often detected by sonography during the prenatal period. Prenatal detection of PCD should affect the prevalence of PCD in children with urinary tract infection (UTI).¶Purpose. To determine the prevalence of abnormal sonographic findings in a population of children undergoing first imaging evaluations after UTI and to determine if the prevalence has changed from an earlier study at the same institution.¶Materials and methods. The findings on consecutive first renal and bladder sonographic examinations in 844 children (745 girls, 99 boys) with UTI were retrospectively reviewed. Cystograms were performed in 743/844 (494 nuclear, 249 fluoroscopic). Only children with known congenital malformations or other significant disease were excluded.¶Results. Sonography was abnormal in 141/844 (16.7 %). PCD was noted in 27/844 (3.2 %), with mild PCD in 18/844 (2.1 %) and moderate or severe PCD in 9/844 (1.1 %). Hydroureter without PCD was noted in 6/844 (0.7 %). Parenchymal abnormalities were present in 42/844 (5.0 %) and bladder wall thickening in 43/844 (5.1 %). Vesicoureteral reflux was present in 186/743 (25.0 %). When compared to historical controls, PCD and hydroureter were significantly less prevalent than 1 decade earlier (P 〈 0.0001).¶Conclusion. The prevalence of PCD in children under first imaging evaluation for UTI declined significantly during the last decade. These data may be useful in the design of imaging strategies for children with UTI.
1432-1998
14321998
Springer
shingle_title_1 The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
shingle_title_2 The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
shingle_title_3 The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
shingle_title_4 The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
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titel The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
titel_suche The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased
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