Radionuclide studies in the evaluation of urinary tract infections.

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dc.contributor.authorJaya, Gen_US
dc.contributor.authorBal, C Sen_US
dc.contributor.authorPadhy, A Ken_US
dc.contributor.authorBandopadhyaya, G Pen_US
dc.contributor.authorPattnayak, S Ken_US
dc.contributor.authorMalathi, K Een_US
dc.date.accessioned1996-08-01en_US
dc.date.accessioned2009-05-27T05:17:13Z
dc.date.available1996-08-01en_US
dc.date.available2009-05-27T05:17:13Z
dc.date.issued1996-08-01en_US
dc.description.abstractOBJECTIVE: To estimate the prevalence of vesicoureteral reflux (VUR) and renal scarring in children presenting with culture proven urinary tract infections (UTI). DESIGN: Descriptive study. SETTING: Tertiary care hospital-based study. SUBJECTS: Thirty-two children with proven UTI were evaluated by means of an abdominal ultrasonogram (USG), Technetium-99m Dimercapto Succinic Acid (DMSA) scan and Direct Radionuclide Cystography (DRCG). A micturating cystourethrogram (MCU) was performed to rule out any structural abnormality and to grade VUR. RESULTS: A total of 64 renal units in 32 children were evaluated. DMSA scan showed scarring in 27 renal units (42.2%) in 16 patients. Bilateral renal scarring was more common in older (> 2 yr) children as compared to younger ones (89% Vs 43%; p < 0.05). USG detected abnormalities in 13 renal units (20.3%) in 7 cases. VUR was detected in 37.5% of children of all age group by DRCG. In contrast, MCU showed evidence of VUR in only 13/20 renal units with a sensitivity of 65% as compared to DRCG and did not pick up any additional VUR that could have been missed on the DRCG. Only 3/9 in < 2 yr, in contrast to 10/11 in > 2 yr were positive for VUR on MCU (p < 0.05). However, MCU detected evidence of cystitis in 3 children and a bladder diverticulum in one patient. CONCLUSION: Wherever available, DMSA scan should be considered as a part of the first line investigations in any patient presenting with UTI. DRCG can also be performed in the same sitting to screen for the presence of reflux particularly for girls.en_US
dc.description.affiliationDepartment of Pediatrics, Safdarjang Hospital, New Delhi.en_US
dc.identifier.citationJaya G, Bal CS, Padhy AK, Bandopadhyaya GP, Pattnayak SK, Malathi KE. Radionuclide studies in the evaluation of urinary tract infections. Indian Pediatrics. 1996 Aug; 33(8): 635-40en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/9743
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshOrganotechnetium Compounds --diagnostic useen_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshSuccimer --diagnostic useen_US
dc.subject.meshTechnetium Tc 99m Dimercaptosuccinic Aciden_US
dc.subject.meshUrinary Tract Infections --physiopathologyen_US
dc.subject.meshUrodynamicsen_US
dc.subject.meshVesico-Ureteral Reflux --physiopathologyen_US
dc.titleRadionuclide studies in the evaluation of urinary tract infections.en_US
dc.typeJournal Articleen_US
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