28. Diagnostic Role of Renal Ultrasonography in Children with Urinary Tract Infection
Malik Mudasir Hassan1, Sadia Riaz1, Muhammad Rashid Rasul2 and Aaqib Javed3
ABSTRACT
Objective: This study was designed to evaluate renal Ultrasonography in children having simple urinary tract infections.
Study Design: Retrospective study
Place and Duration of Study: This study was conducted at the Department of Radiology, Bahawal Victoria Hospital, Bahawalpur from August, 2017 to April 2018.
Materials and Methods: In our study 350 patients were included. All the cases with positive urine cultures were included in our study. Positive urine cultures were defined as 100,000 CFU/mL in midstream samples or urine bags or 10,000 CFU/mL in suprapubic samples. Sex, age, ultrasound performance, VCUG, and DMSA scan results were recorded. SPSS 21 was used for data interpretation, percentages, frequencies were calculated and table was formed.
Results: The initial diagnosis of urinary tract infection was performed in 350 patients (male=165, female=185), and 220 urine cultures were positive. Out Of 220 patients with urinary tract infections, 159 (78%) were females and 59 (22) were males (P 0.001). The age distribution is shown in . Children less than 5 years old, hydronephrosis were the most common. The thickening of the bladder wall in older children was the most common abnormal finding
Abnormal renal ultrasound was significantly associated with VUR (Table 3). The sensitivity, specificity, positive predictive value and negative predictive value of RUS for VUR were 42%, 79%, 38% and 82%, respectively. Hydronephrosis was a more common ultrasound result in VUR cases. There was no significant correlation between abnormalities in renal ultrasound images and VUR (P = 0.43).
Conclusion: Most UTI patients have normal renal ultrasonography. Hydronephrosis is the most common abnormality in VUR cases.
Key Words: Sonography, Urinary tract infection, vesico urethral reflux, VUR
Citation of articles: Hassan MM, Riaz S, Rasul MR, Javed A. Diagnostic Role of Renal Ultrasonography in Children with Urinary Tract Infection. Med Forum 2019;20(1):121-123.