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01-04-2011 | Review Article

Febrile urinary tract infection, vesicoureteral reflux, and renal scarring: current controversies in approach to evaluation

Authors: Martin A. Koyle, Jack S. Elder, Steven J. Skoog, Tej K. Mattoo, Hans G. Pohl, Pramod P. Reddy, Jennifer M. Abidari, Warren T. Snodgrass

Published in: Pediatric Surgery International | Issue 4/2011

Abstract

The ideal approach to the radiological evaluation of children with urinary tract infection (UTI) is in a state of confusion. The conventional bottom-up approach, with its focus on the detection of upper and lower urinary tract abnormalities, including vesicoureteral reflux, has been challenged by the top-down approach, which focuses on confirming the diagnosis of acute pyelonephritis before more invasive imaging is considered. Controversies abound regarding which approach may best assess the ultimate risk for reflux-related renal scarring. Evolving practices motivated by the emerging evidence, the desire to minimize unnecessary interventions, as well as improve compliance with recommended testing, have added to the current controversies. Recent guideline updates and ongoing clinical trials hopefully will help in addressing some of these concerns.

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Title: Febrile urinary tract infection, vesicoureteral reflux, and renal scarring: current controversies in approach to evaluation
Authors: Martin A. Koyle
Jack S. Elder
Steven J. Skoog
Tej K. Mattoo
Hans G. Pohl
Pramod P. Reddy
Jennifer M. Abidari
Warren T. Snodgrass
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 4/2011
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-011-2863-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Febrile urinary tract infection, vesicoureteral reflux, and renal scarring: current controversies in approach to evaluation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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