Comparing between results and complications of doing voiding cystourethrogram in the first week following urinary tract infection and in 2-6 weeks after urinary tract infection in children referring to a teaching hospital.
BACKGROUND
Urinary tract infection is the most common genitourinary disease in children so about 40% of the children with urinary tract infection suffering from reflux that caused some consequences such as pyelonephritis and kidney parenchymal injury.


OBJECTIVE
This research was conducted to compare the timing of voiding cystourethrogram (VCUG) in children with urinary tract infection in first week and after the first week of urinary tract infection.


METHODS
This research is a case-control study that both case and control groups include 208 children from 1 month to 12 years old with the complain of urinary tract infection. In case group, the VCUG was performed at the first week of infection and in control group, the VCUG was performed after the first week of infection.


RESULTS
complication such as dysuria was observed in two-thirds of children who VCUG was performed during first week after urinary tract infection. Parents stress in case group was more than the other (P=0.015). For overall, the incidence of reflux in case and control groups was 49.5% and 50%, respectively. The mean of reflux grading in right kidney in case group was lower than control group resulting in significant differences between two groups.


CONCLUSIONS
According to higher grade of stress in parents and complications due to VCUG at the first week of urinary tract infection, it is suggested that VCUG be conducted on selective patients in the hospital at the first week of urinary tract infection and during hospitalization.
Amirkabir Hospital, Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Parsa
P
Yousefichaijan
Amirkabir Hospital, Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Fatemeh
F
Dorreh
Amirkabir Hospital, Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Someyeh
S
Shahsavari
Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
Abdolghader
A
Pakniyat
Pyelonephritis reflux; Urethritis; Urinary tract infection; Voiding cystourethrogram
J Pediatr Urol. 2012 Feb;8(1):72-6
21126919
Arch Dis Child. 1997 Mar;76(3):275-7
9135273
J Renal Inj Prev. 2015 Sep 01;4(3):96-100
26468482
J Pediatr. 2001 Oct;139(4):568-71
11598605
Acta Med Iran. 2012;50(7):468-72
22930378
Pak J Biol Sci. 2013 Jun 1;16(11):545-7
24498825
Pediatrics. 2000 Apr;105(4):E50
10742371
Pediatr Nephrol. 2009 Feb;24(2):319-22
18853200
Pediatrics. 2005 Feb;115(2):426-34
15687452