title: The results of different diagnostic imaging studies used in children with urinary tract infection.
abstract: Urinary tract infections (UTI) can cause significant renal scarring, which can be complicated by hypertension and renal impairment. This study describes the outcome of different imaging modalities in children with UTI and its relation to age, sex and type of UTI. Our objective was to describe the frequencies of different imaging studies, which were used to investigate children with UTI at King Fahad Hospital (KFH) between the years 2003 and 2008. This is a descriptive study of all children presenting with UTI at KFH from 2003 to 2008. The study population, 100 children , were divided into 3 age groups; first group (> 1 month to 2 years); second group (> 2 to 5 years) , third group (> 5 to 12 years). All enrolled children were confirmed to have had UTI via urinary cultures. Ninety seven (97%) patients underwent renal ultrasonography (US), 77 (77%) had a 99mTc-dimercaptosuccinic acid (DMSA) scan within 2 months of presentation, and 60 (60%) patients underwent micturating cystourethrogram (MCUG), mainly those with an abnormal DMSA scan. A total of 100 patients screened, 10 (10%) were males and 90 (90%) were females, first age group constituted 10%, second age group was 25% , third age groups was 65%. E-coli was isolated in 84% of patients, 60% had recurrent UTI, 45% had pyelonephritis, 48.4% had abnormal renal US, 61% had an abnormal DMSA scan, and 26.6% had abnormal MCUG. UTI can cause significant morbidity in children if not managed properly. Imaging studies are useful in identifying children who require advanced medical intervention; however, such studies should be performed only when indicated.
authors: Department of Pediatrics , King Fahad Hospital, Al-Baha , Saudi Arabia.
authors: Majida Noori
authors: MN
authors: Nasaif
authors: Department of Pediatrics , King Fahad Hospital, Al-Baha , Saudi Arabia.
authors: Ahmed Hassan
authors: AH
authors: Alghamdi
authors: College of Medicine, Albaha University , Saudi Arabia.
authors: Jameel Al
authors: JA
authors: Ghamdi
authors: College of Medicine, Albaha University , Saudi Arabia.
authors: Ali
authors: A
authors: Al-Dammas
keywords: Children; Dimercaptosuccinic acid scans; Micturating cystourethrogram; Renal ultrasonography; Urinary tract infection