Skip to main content
Log in

Radiologic evaluation of urinary tract infection

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

This prospective study was designed to investigate the most relevant radiological approach for the evaluation of urinary tract infections (UTI) in childhood. In the first 48 hours following the diagnosis of UTI, all patients underwent99mTc dimercaptosuccinic acid (DMSA) scanning, ultrasonography (US) and intravenous urography (IVU). For the imaging of renal parenchymal infection the sensitivity of IVU and US as compared to DMSA scanning were found to be 9.09% and 25%, respectively. It was concluded that99mTc DMSA, where available, should be the first step for the accurate diagnosis and follow-up of patients with UTI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Haycock, G. B.: Investigation of urinary tract infection.Arch. Dis. Child., 61, 1155 (1986).

    Article  CAS  PubMed  Google Scholar 

  2. Lerner, G. R., Fleischmann, L. E.: Reflux nephropathy.Pediatr. Clin. North. Am., 34 (3), 747 (1987).

    CAS  PubMed  Google Scholar 

  3. Magil, H. L.: Diagnostic imaging in children with urinary tract infection.S. Med. J., 12, 1557 (1987).

    Google Scholar 

  4. McKerrow, W., Lamb, N. D., Jones, P. F.: Urinary tract infection in children.Br. Med. J., 289, 299 (1984).

    Article  CAS  Google Scholar 

  5. Whyte, K. M., Abbot, G. D., Kennedy, J. C., Malign, T. J. M.: A protocol for the investigation of infants and children with urinary tract infection.Clin. Radiol., 39, 278 (1988).

    CAS  PubMed  Google Scholar 

  6. Hamburger, E. K.: Urinary tract infection in infants and children.Postgrad. Med., 6, 235 (1986).

    Google Scholar 

  7. Lebowitz, R. L., Mandell, J.: Urinary tract infection in children: Putting radiology in its place.Radiology, 165, 1 (1987).

    CAS  PubMed  Google Scholar 

  8. O'Brien, W. M., Gibbons, M. D.: Pediatric urinary tract infections.AFP, 38 (1), 101 (1988).

    Google Scholar 

  9. Ransome, O. J., Thomson, P. D.: Urinary tract infection in childhood.SAMJ, 70, 417 (1986).

    CAS  PubMed  Google Scholar 

  10. Reid, B. S., Benden, T. M.: Radiographic evaluation of children with urinary tract infections.Radiol. Clin. North. Am., 2, 393 (1988).

    Google Scholar 

  11. Conway, J. J.: The role of scintigraphy in urinary tract infection.Semin. Nucl. Med., 4, 308 (1988).

    Article  Google Scholar 

  12. Handmaker, H.: Nuclear renal imaging in acute pyelonephritis.Semin. Nucl. Med., 3, 246 (1982).

    Article  Google Scholar 

  13. Majd, M., Rushton, H. G., Chandra, R., Yim, D.: Accuracy of99mTc DMSA renal cortical scintigraphy in experimentally induced acute pyelonephritis in piglets.J. Nucl. Med., 20, 778 (1988).

    Google Scholar 

  14. Sty, J. R., Wells, R. G., Starshak, R. J., Schroeder, B. A.: Imaging in acute renal infection in children.AJR, 148, 471 (1987).

    CAS  PubMed  Google Scholar 

  15. Tappin, D. M., Murphy, A. V., Mocan, H., Shaw, R., Beattie, J. T., Mcallister, A. T., Mackenzie, J. R.: A prospective study of children with first acute symptomatic E. coli urinary tract infection.Acta Pediatr. Scand., 78, 923 (1989).

    Article  CAS  Google Scholar 

  16. Traisman, E. S., Convay, J. J., Traisman, H. S., Yogev, R., Firlit, C., Shkolnik, A., Weis, S.: The localization of urinary tract infection with99mTc glucoheptonate scintigraphy.Pediatr. Radiol., 16, 403 (1986).

    Article  CAS  PubMed  Google Scholar 

  17. Wikstad, I., Hannerz, L., Karlsson, A., Eklöf, A. C., Olling, S., Aperia, A.:99mTc DMSA scintigraphy in the diagnosis of acute pyelonephritis in rats.Pediatr. Nephrol., 4, 331 (1990).

    Article  CAS  PubMed  Google Scholar 

  18. Morehouse, H. T., Weiner, S. N., Hoffman, J. C.: Imaging in inflammatory disease of the kidney.A.J.R., 143, 135 (1985).

    Google Scholar 

  19. Pedersen, H. K., Gudmundsen, T. E., Ostensen, H., Pape, J. F.: Intravenous urography in children and yough.Pediatr. Radiol., 17, 463 (1987).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bircan, Z.E., Buyan, N., Hasanoĝlu, E. et al. Radiologic evaluation of urinary tract infection. International Urology and Nephrology 27, 27–32 (1995). https://doi.org/10.1007/BF02575216

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02575216

Keywords

Navigation