Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting
Urinary tract infection (UTI) is the most common invasive childhood bacterial infection. While it has a benign course in most children, there is a risk that some will develop renal scarring, hypertension and chronic renal failure. There are no simple clinical means to identify those at risk and who...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2001-02-01
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| Series: | South African Journal of Radiology |
| Subjects: | |
| Online Access: | https://sajr.org.za/index.php/sajr/article/view/1484 |
| _version_ | 1818689162400759808 |
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| author | S. Andronikou C. Welman E. Kader M. McCulloch |
| author_facet | S. Andronikou C. Welman E. Kader M. McCulloch |
| author_sort | S. Andronikou |
| collection | DOAJ |
| description | Urinary tract infection (UTI) is the most common invasive childhood bacterial infection. While it has a benign course in most children, there is a risk that some will develop renal scarring, hypertension and chronic renal failure. There are no simple clinical means to identify those at risk and who would benefit from treatment and so all children with first proven UTI are subjected to imaging. Imaging is directed at detecting vesico-ureteric reflux (VUR), obstruction from pelviureteric junction (PUJ) obstruction or posterior urethral valves (PUV) and kidneys that are scarred or at a risk for scarring. Unfortunately, no single imaging method is able to detect all of the above. Also, the advantages and limitations of many of the imaging methods are not clearly appreciated. This article presents the uses, advantages and disadvantages of current imaging methods and outlines a strategy that attempts to limit the radiation dose and invasiveness of the procedure. |
| first_indexed | 2024-12-17T12:05:43Z |
| format | Article |
| id | doaj.art-78587680f190458bb200c54994a0d5eb |
| institution | Directory Open Access Journal |
| issn | 1027-202X 2078-6778 |
| language | English |
| last_indexed | 2024-12-17T12:05:43Z |
| publishDate | 2001-02-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Radiology |
| spelling | doaj.art-78587680f190458bb200c54994a0d5eb2022-12-21T21:49:38ZengAOSISSouth African Journal of Radiology1027-202X2078-67782001-02-01514810.4102/sajr.v5i1.1484869Imaging strategy for South African children with their first proven UTI in a tertiary hospital settingS. Andronikou0C. Welman1E. Kader2M. McCulloch3Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalUrinary tract infection (UTI) is the most common invasive childhood bacterial infection. While it has a benign course in most children, there is a risk that some will develop renal scarring, hypertension and chronic renal failure. There are no simple clinical means to identify those at risk and who would benefit from treatment and so all children with first proven UTI are subjected to imaging. Imaging is directed at detecting vesico-ureteric reflux (VUR), obstruction from pelviureteric junction (PUJ) obstruction or posterior urethral valves (PUV) and kidneys that are scarred or at a risk for scarring. Unfortunately, no single imaging method is able to detect all of the above. Also, the advantages and limitations of many of the imaging methods are not clearly appreciated. This article presents the uses, advantages and disadvantages of current imaging methods and outlines a strategy that attempts to limit the radiation dose and invasiveness of the procedure.https://sajr.org.za/index.php/sajr/article/view/1484vesico-ureteric refluxultrasoundMCUGDMSAMAG3 |
| spellingShingle | S. Andronikou C. Welman E. Kader M. McCulloch Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting South African Journal of Radiology vesico-ureteric reflux ultrasound MCUG DMSA MAG3 |
| title | Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting |
| title_full | Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting |
| title_fullStr | Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting |
| title_full_unstemmed | Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting |
| title_short | Imaging strategy for South African children with their first proven UTI in a tertiary hospital setting |
| title_sort | imaging strategy for south african children with their first proven uti in a tertiary hospital setting |
| topic | vesico-ureteric reflux ultrasound MCUG DMSA MAG3 |
| url | https://sajr.org.za/index.php/sajr/article/view/1484 |
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