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Imaging in childhood urinary tract infection

  • PAEDIATRIC RADIOLOGY
  • Published:
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Abstract

Introduction

Urinary tract infection (UTI) is a common query in pediatric radiology. Imaging for and after UTI is still a heavily debated topic with different approaches, as thorough evidence to decide upon a definite algorithm is scarce.

Content and objective

This review article tries to address the clinical rational of the various approaches (general imaging, top-down or bottom-up, selected and individualized imaging concepts…), describes the available imaging modalities and the respective findings in imaging children with UTI, and proposes an imaging algorithm for the work-up of children during and after UTI discussing the “pros and cons” of the different attitudes.

Conclusion

In summary, imaging by US is generally considered for all infants and children with a febrile or complicated (upper) UTI, particularly without previously known urinary tract anatomy. The further work-up (searching for renal scarring and assessment of vesico-ureteric reflux) is then decided according to these initial findings as well as the clinical presentation, course, and scenario.

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  1. Division of Paediatric Radiology, Department of Radiology, Universität Hospital LKH Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Michael Riccabona

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Correspondence to Michael Riccabona.

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Riccabona, M. Imaging in childhood urinary tract infection. Radiol med 121, 391–401 (2016). https://doi.org/10.1007/s11547-015-0594-1

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  • DOI: https://doi.org/10.1007/s11547-015-0594-1

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