A protocol for the investigation of infants and children with urinary tract infection.
An investigation protocol, designed to reduce invasive procedures to a minimum, is described for the detection of reflux nephropathy in infants and children. Intravenous urography and voiding cysto-urethrography is necessary in patients up to the age of 2 years presenting with urinary tract infection, but in children over 2 years of age the protocol limits the investigation to an intravenous urogram unless this is abnormal. A review of this policy after 5 years has indicated that it is appropriate provided that children who continue to have infections have further evaluation including a voiding cysto-urethrogram.
Whyte
K M
KM
Department of Radiology, Christchurch Hospital, New Zealand.
Abbott
G D
GD
Kennedy
J C
JC
Maling
T M
TM
D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D014552:Urinary Tract Infections / Q000150:complications / Q000000981:diagnostic imaging*; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging / Q000209:etiology