A practical approach to evaluating urinary tract infection in children.

摘要: After a first urinary tract infection (UTI), all children require an evaluation with imaging studies to screen the for anatomic abnormalities and reflux. Ultrasonography voiding cystography readily accomplish this are recommended, knowing that such recommendation is controversial. While likelihood reflux-induced renal damage age related, presence of reflux in any child clinically important management. Abnormal screening results or recurrence warrant further radiographic testing. However, necessary but do not constitute sufficient UTI because etiology only rarely identified these tests. Sorely neglected most recommended protocols evaluating investigation micturitional disturbances which may be responsible infections. Treatment conditions actually prevent infection. Controversy surrounding proper appears misdirected. Instead arguing about study should performed have cystogram, our patients might better served if we wondered why traditional deal studies.