article appearing in the January 16, 2003 NEJM titled Imaging
Studies after a First Febrile Urinary Tract Infection in Young Children
asserts that renal ultrasound is not necessary and does not change clinical
recommend not performing renal ultrasound in any children with first
febrile UTI if there was a documented good quality prenatal ultrasound
performed after 30 to 32 weeks gestation.
study was not an RCT, which would be necessary to truly assert no difference
in clinical outcomes.
up was only 6 months, a much shorter time period than is needed to see
the eventual outcomes of renal scarring, hypertension, or ESRD.
really need evidence concerning the efficacy of prophylactic antibiotics
for preventing the long-term outcomes of scarring, hypertension or ESRD.