Kidney ultrasound detects urinary tract abnormality in 25 percent Children with first febrile UTI
Kidney ultrasound detects urinary tract abnormality in 25 percent Children with first febrile UTI suggests a new study published in the JAMA Pediatrics
Controversy exists on the clinical utility of kidney ultrasonography after first febrile urinary tract infection (UTI), and clinical practice guideline recommendations vary. A study was done to determine the prevalence of urinary tract abnormalities detected on kidney ultrasonography after the first febrile UTI in children.
Twenty-nine studies were included, with a total of 9170 children. Of the 27 studies that reported participant sex, the median percentage of males was 60%
The prevalence of abnormalities detected on renal ultrasonography was 22.1% and 21.9% The prevalence of clinically important abnormalities was 3.1% and 4.5%
Study recruitment bias was associated with a higher prevalence of abnormalities.
The most common findings detected were hydronephrosis, pelviectasis, and dilated ureter. Urinary tract obstruction was identified in 0.4%, and surgical intervention occurred in 1.4% One study reported health care utilization. No study reported parent-reported outcomes.
Yang S, Gill PJ, Anwar MR, et al. Kidney Ultrasonography After First Febrile Urinary Tract Infection in Children: A Systematic Review and Meta-analysis. JAMA Pediatr. Published online May 30, 2023. doi:10.1001/jamapediatrics.2023.1387
Kidney, ultrasound, detects, urinary, tract, abnormality, 25 percent, Children, first, febrile, UTI, Yang S, Gill PJ, Anwar MR,JAMA Pediatrics
