- Studies from the 1960's thought the febrile UTI would exacerbate reflux
if present, with increased inflammation or ureteral dilatation.1,3
- Waiting 4-6 weeks would allow the urinary system to "calm down,"
which was felt to improve the accuracy of diagnosing VUR.1,3
- Further studies need to determine if there is a difference in the
long-term outcome between those that are diagnosed early and late.
S, To T, Friedman J. Timing of voiding cystourethrogram in the investigation
of urinary tract infections in children. J Pediatr 2001; 139: 568-71.
Academy of Pediatrics. Practice parameter: the diagnosis, treatment,
and evaluation of the initial urinary tract infection in febrile infants
and young children. Pediatrics 1999; 103:843-52.
A, Scranton M, Gillespie R, Mahajan V, Edwards GA. Voiding cystourethrograms
and urinary tract infections: how long to wait? Pediatrics 2000;105:e50.