Evaluation of abnormal radiological findings in children aged 2 to 36 months followed by recurrent urinary tract infection: A retrospective study

dc.contributor.authorOzen C.
dc.contributor.authorErtan P.
dc.contributor.authorAras F.
dc.contributor.authorGumuser G.
dc.contributor.authorOzkol M.
dc.contributor.authorDinc G.H.
dc.date.accessioned2024-07-22T08:10:24Z
dc.date.available2024-07-22T08:10:24Z
dc.date.issued2017
dc.description.abstractOur aim is to determine the rational usage of imaging techniques in order to prevent or minimize permanent renal damage in recurrent urinary tract infections (UTIs). This study was enrolled children aged between 2 and 36 months, following-up with the diagnosis of recurrent UTI. All children had ultrasonography (USG) and dimercaptosuccinic acid scanning, 39 of them had underwent on voiding cystourethrography. There were 133 children (87 girls, 46 boys) with the mean age of 32.82±38.10 months included into the study. Forty-three kidney units were normal in ultrasonogram of which seven units had reflux whereas among 35 units with hydronephrosis 22 units had reflux. Sensitivity and specificity presence of hydronephrosis in ultrasonogram for prediction of reflux was 75.9% and 73.5%, respectively. There were 19 dilated ureters in ultrasonogram, and among them 14 had reflux. Sensitivity and specificity of presence with ureteral dilatation in ultrasonogram for prediction of reflux was found as 48.3% and 89.8%, respectively. The sensitivity of parenchymal thinning seen in ultrasonogram for the evaluation of renal parenchyma was 15.9%, whereas specificity was 98.2%.Sensitivity and specificity of dimercaptosuccinic acid for prediction of reflux was 51.6% and 72.3%, respectively. The normal ultrasonogram findings cannot rule out neither possibility of reflux presence nor development of renal scarring. Therefore, DMSA scanning has major role both in determination of parenchymal damage and prevention of scarring. Also we get an important result as ureteral dilatation seen in USG, related to presence of reflux. © 2016 The Author(s).
dc.identifier.DOI-ID10.1080/0886022X.2016.1251460
dc.identifier.issn0886022X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15220
dc.language.isoEnglish
dc.publisherTaylor and Francis Ltd
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectChild, Preschool
dc.subjectCicatrix
dc.subjectFemale
dc.subjectHumans
dc.subjectHydronephrosis
dc.subjectInfant
dc.subjectKidney
dc.subjectMale
dc.subjectRecurrence
dc.subjectRetrospective Studies
dc.subjectSensitivity and Specificity
dc.subjectTurkey
dc.subjectUltrasonography
dc.subjectUrinary Tract Infections
dc.subjectVesico-Ureteral Reflux
dc.subjectsuccimer tc 99m
dc.subjectArticle
dc.subjectchild
dc.subjectcircumcision
dc.subjectdiagnostic test
dc.subjectearly diagnosis
dc.subjectechography
dc.subjectfemale
dc.subjecthuman
dc.subjecthydronephrosis
dc.subjectinfant
dc.subjectkidney injury
dc.subjectkidney parenchyma
dc.subjectKolmogorov Smirnov test
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmicturition cystourethrography
dc.subjectpredictive value
dc.subjectpriority journal
dc.subjectprophylaxis
dc.subjectrecurrent infection
dc.subjectretrospective study
dc.subjectscar formation
dc.subjectsensitivity and specificity
dc.subjectureter dilatation
dc.subjecturinary tract infection
dc.subjectvesicoureteral reflux
dc.subjectCicatrix
dc.subjectdiagnostic imaging
dc.subjectechography
dc.subjectkidney
dc.subjectpreschool child
dc.subjectrecurrent disease
dc.subjectTurkey
dc.subjecturinary tract infection
dc.titleEvaluation of abnormal radiological findings in children aged 2 to 36 months followed by recurrent urinary tract infection: A retrospective study
dc.typeArticle

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