- Ultrasound is a good method for screening or evaluating the kidney
for structural abnormalities: differences in size, hydronephrosis, scarring,
and cystic changes.
- If reflux is the concern, VCUG is the best test to perform.
- Recommendations at this institution are:
- Ultrasound and VCUG should be done in initial evaluation of
a recurrent UTI. In infants, after first UTI, VCUG should
be obtained 6 weeks after completion of treatment.
- Continue prophylaxis until results of VCUG obtained.
- If reflux is present, continue prophylaxis until reflux is
- Blane CE, DiPietro
MA, Zerin JM, Sedman AB, Bloom DA. Renal sonography is not a reliable
screening examination for vesicoureteral reflux. J Urology
- DiPietro MA,
Blane CE, Zerin JM. Vesicoureteral reflux in older children:
Concordance of US and voiding cystourethrographic findings. Radiology
- Garin EH, Campos
A, Homsy Y. Primary vesicoureteral reflux: Review of current
concepts. Pediatric Nephrology 1998; 12:249-256.
- Rushton GH, et
al. Urinary tract infections in children. Pediatric Clinics
of North America, 1997; 33(5):1133-1169.
S and Hellerstein S. Urinary tract infections per se do not cause
end-stage kidney disease. Pediatric Nephrology 1998; 12:210-213.