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Imaging After Urinary Tract Infection in Male Neonates
To assess the frequency of urinary tract anomalies in male neonates
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| Published in: | Pediatrics (Evanston) 2000-06, Vol.105 (6), p.1232-1235 |
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| Main Authors: | , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c505t-8feace242ec88f5e09c38d9c2d37ab313b942332850b5d4e3effcc77ebbc2fb33 |
| container_end_page | 1235 |
| container_issue | 6 |
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| container_title | Pediatrics (Evanston) |
| container_volume | 105 |
| creator | Goldman, Michael Lahat, Eli Strauss, Simon Reisler, Gad Livne, Amir Gordin, Lital Aladjem, Mordechay |
| description | To assess the frequency of urinary tract anomalies in male neonates |
| doi_str_mv | 10.1542/peds.105.6.1232 |
| format | article |
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During a period of 4.5 years, from July 1994 through December 1998, 45 male neonates <8 weeks old (range: 5-56 days; mean: 23.77 days) with UTI were hospitalized. All patients had an ultrasound (US) and a voiding cystourethrogram (VCUG), except 1 neonate in whom VCUG was unsuccessful because of technical problems. A dimercaptosuccinic acid (DMSA) scan was recommended to all patients but was performed only in 30 of 45, most of them with an abnormal VCUG. The renal scan was performed at least 4 months after the UTI.
Urinary tract abnormalities were observed in 22 of 45 male neonates. Nineteen had vesicoureteral reflux (VUR), 1 had VUR and a double collecting system, 1 had VUR and a posterior urethral valve, and 1 had an ureteropelvic junction stricture. Renal atrophy or scars, as demonstrated by DMSA scan, were detected almost exclusively in neonates with VUR grade 3 and above. Only 1 neonate with VUR grade 1 had a pathologic DMSA, and the US of this male also demonstrated renal atrophy. Escherichia coli was the pathogen in 62% (28 of 45), and 9 boys had bacteremia.
We suggest that US and VCUG should be performed routinely after the initial UTI in male neonates. Renal scan should be reserved for those cases in which the US suggests renal parenchymal damage or when VCUG detects VUR grade 3 and above.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.105.6.1232</identifier><identifier>PMID: 10835062</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: Am Acad Pediatrics</publisher><subject>Abnormalities ; Babies ; Causes of ; Chelating Agents ; Excretory system ; Humans ; Infant ; Infant, Newborn ; Infants ; Infections ; Male ; Males ; Medical imaging ; Pediatrics ; Radionuclide Imaging ; Succimer ; Ultrasonography ; Urinary organs ; Urinary tract ; Urinary tract infections ; Urinary Tract Infections - diagnostic imaging ; Urogenital Abnormalities - diagnostic imaging ; Vesico-Ureteral Reflux - diagnostic imaging</subject><ispartof>Pediatrics (Evanston), 2000-06, Vol.105 (6), p.1232-1235</ispartof><rights>COPYRIGHT 2000 American Academy of Pediatrics</rights><rights>COPYRIGHT 2000 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Jun 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-8feace242ec88f5e09c38d9c2d37ab313b942332850b5d4e3effcc77ebbc2fb33</citedby><cites>FETCH-LOGICAL-c505t-8feace242ec88f5e09c38d9c2d37ab313b942332850b5d4e3effcc77ebbc2fb33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10835062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goldman, Michael</creatorcontrib><creatorcontrib>Lahat, Eli</creatorcontrib><creatorcontrib>Strauss, Simon</creatorcontrib><creatorcontrib>Reisler, Gad</creatorcontrib><creatorcontrib>Livne, Amir</creatorcontrib><creatorcontrib>Gordin, Lital</creatorcontrib><creatorcontrib>Aladjem, Mordechay</creatorcontrib><title>Imaging After Urinary Tract Infection in Male Neonates</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To assess the frequency of urinary tract anomalies in male neonates <8 weeks old who presented with urinary tract infection (UTI), and to evaluate a suitable imaging approach after the initial infection.
During a period of 4.5 years, from July 1994 through December 1998, 45 male neonates <8 weeks old (range: 5-56 days; mean: 23.77 days) with UTI were hospitalized. All patients had an ultrasound (US) and a voiding cystourethrogram (VCUG), except 1 neonate in whom VCUG was unsuccessful because of technical problems. A dimercaptosuccinic acid (DMSA) scan was recommended to all patients but was performed only in 30 of 45, most of them with an abnormal VCUG. The renal scan was performed at least 4 months after the UTI.
Urinary tract abnormalities were observed in 22 of 45 male neonates. Nineteen had vesicoureteral reflux (VUR), 1 had VUR and a double collecting system, 1 had VUR and a posterior urethral valve, and 1 had an ureteropelvic junction stricture. Renal atrophy or scars, as demonstrated by DMSA scan, were detected almost exclusively in neonates with VUR grade 3 and above. Only 1 neonate with VUR grade 1 had a pathologic DMSA, and the US of this male also demonstrated renal atrophy. Escherichia coli was the pathogen in 62% (28 of 45), and 9 boys had bacteremia.
We suggest that US and VCUG should be performed routinely after the initial UTI in male neonates. Renal scan should be reserved for those cases in which the US suggests renal parenchymal damage or when VCUG detects VUR grade 3 and above.</description><subject>Abnormalities</subject><subject>Babies</subject><subject>Causes of</subject><subject>Chelating Agents</subject><subject>Excretory system</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infections</subject><subject>Male</subject><subject>Males</subject><subject>Medical imaging</subject><subject>Pediatrics</subject><subject>Radionuclide Imaging</subject><subject>Succimer</subject><subject>Ultrasonography</subject><subject>Urinary organs</subject><subject>Urinary tract</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - diagnostic imaging</subject><subject>Urogenital Abnormalities - diagnostic imaging</subject><subject>Vesico-Ureteral Reflux - diagnostic imaging</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNptks1r2zAYxsVYWbN2592G2WH0UKf6sGz5GMLaBdL20p6FLL9yVWw5k2S2_feTSWHJCDrog58e6XnfB6HPBC8JL-jNDtqwJJgvyyWhjL5DC4JrkRe04u_RAmNG8gJjfo4-hvCKMS54RT-gc4IF47ikC1RuBtVZ12UrE8Fnz9465f9kT17pmG2cAR3t6DLrsnvVQ_YAo1MRwiU6M6oP8OltvkDPt9-f1j_y7ePdZr3a5ppjHnNhQGmgBQUthOGAa81EW2vasko1jLCmLihjVHDc8LYABsZoXVXQNJqahrEL9G2vu_PjzwlClIMNGvpeORinICtCOE-eEvj1P_B1nLxLf5OUClaWXNQJut5DXfIirTNjTD47cOBVPzowNh2vSlqJuirmx_MTeBotDFaf4q-O-IRE-B07NYUgxd32CL0-heqx76EDmWq4fjzCb_a49mMIHozceTukRkmC5RwEOQchbbgs5RyEdOPLWz2mZoD2gN93_p_ki-1eflkPs4RV0VsdDpYHkn8BtiS8OA</recordid><startdate>20000601</startdate><enddate>20000601</enddate><creator>Goldman, Michael</creator><creator>Lahat, Eli</creator><creator>Strauss, Simon</creator><creator>Reisler, Gad</creator><creator>Livne, Amir</creator><creator>Gordin, Lital</creator><creator>Aladjem, Mordechay</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20000601</creationdate><title>Imaging After Urinary Tract Infection in Male Neonates</title><author>Goldman, Michael ; Lahat, Eli ; Strauss, Simon ; Reisler, Gad ; Livne, Amir ; Gordin, Lital ; Aladjem, Mordechay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-8feace242ec88f5e09c38d9c2d37ab313b942332850b5d4e3effcc77ebbc2fb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abnormalities</topic><topic>Babies</topic><topic>Causes of</topic><topic>Chelating Agents</topic><topic>Excretory system</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Infections</topic><topic>Male</topic><topic>Males</topic><topic>Medical imaging</topic><topic>Pediatrics</topic><topic>Radionuclide Imaging</topic><topic>Succimer</topic><topic>Ultrasonography</topic><topic>Urinary organs</topic><topic>Urinary tract</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - diagnostic imaging</topic><topic>Urogenital Abnormalities - diagnostic imaging</topic><topic>Vesico-Ureteral Reflux - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldman, Michael</creatorcontrib><creatorcontrib>Lahat, Eli</creatorcontrib><creatorcontrib>Strauss, Simon</creatorcontrib><creatorcontrib>Reisler, Gad</creatorcontrib><creatorcontrib>Livne, Amir</creatorcontrib><creatorcontrib>Gordin, Lital</creatorcontrib><creatorcontrib>Aladjem, Mordechay</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldman, Michael</au><au>Lahat, Eli</au><au>Strauss, Simon</au><au>Reisler, Gad</au><au>Livne, Amir</au><au>Gordin, Lital</au><au>Aladjem, Mordechay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Imaging After Urinary Tract Infection in Male Neonates</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2000-06-01</date><risdate>2000</risdate><volume>105</volume><issue>6</issue><spage>1232</spage><epage>1235</epage><pages>1232-1235</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To assess the frequency of urinary tract anomalies in male neonates <8 weeks old who presented with urinary tract infection (UTI), and to evaluate a suitable imaging approach after the initial infection.
During a period of 4.5 years, from July 1994 through December 1998, 45 male neonates <8 weeks old (range: 5-56 days; mean: 23.77 days) with UTI were hospitalized. All patients had an ultrasound (US) and a voiding cystourethrogram (VCUG), except 1 neonate in whom VCUG was unsuccessful because of technical problems. A dimercaptosuccinic acid (DMSA) scan was recommended to all patients but was performed only in 30 of 45, most of them with an abnormal VCUG. The renal scan was performed at least 4 months after the UTI.
Urinary tract abnormalities were observed in 22 of 45 male neonates. Nineteen had vesicoureteral reflux (VUR), 1 had VUR and a double collecting system, 1 had VUR and a posterior urethral valve, and 1 had an ureteropelvic junction stricture. Renal atrophy or scars, as demonstrated by DMSA scan, were detected almost exclusively in neonates with VUR grade 3 and above. Only 1 neonate with VUR grade 1 had a pathologic DMSA, and the US of this male also demonstrated renal atrophy. Escherichia coli was the pathogen in 62% (28 of 45), and 9 boys had bacteremia.
We suggest that US and VCUG should be performed routinely after the initial UTI in male neonates. Renal scan should be reserved for those cases in which the US suggests renal parenchymal damage or when VCUG detects VUR grade 3 and above.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>10835062</pmid><doi>10.1542/peds.105.6.1232</doi><tpages>4</tpages></addata></record> |
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| ispartof | Pediatrics (Evanston), 2000-06, Vol.105 (6), p.1232-1235 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | EZB Free E-Journals |
| subjects | Abnormalities Babies Causes of Chelating Agents Excretory system Humans Infant Infant, Newborn Infants Infections Male Males Medical imaging Pediatrics Radionuclide Imaging Succimer Ultrasonography Urinary organs Urinary tract Urinary tract infections Urinary Tract Infections - diagnostic imaging Urogenital Abnormalities - diagnostic imaging Vesico-Ureteral Reflux - diagnostic imaging |
| title | Imaging After Urinary Tract Infection in Male Neonates |
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