J Korean Soc Pediatr Nephrol > Volume 5(2); 2001 > Article
Journal of the Korean Society of Pediatric Nephrology 2001;5(2): 176-181.
요로 감염증 환아에서 배뇨성 요로조영술을 시행하는 적절한 시기에 대한 평가
이정아, 최제은, 김성미, 정진화
1메리놀병원 소아과
2메리놀병원 소아과
3메리놀병원 소아과
4메리놀병원 소아과
Evaluation of Timing of Voiding Cystourethrogram after Urinary Tract Infection
Jung A Lee, Jae Eun Choi, Sung Mi Kim, Jin Hwa Jung
1Department of Pediatrics, Maryknoll Hospital
2Department of Pediatrics, Maryknoll Hospital
3Department of Pediatrics, Maryknoll Hospital
4Department of Pediatrics, Maryknoll Hospital
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ABSTRACT
Purpose : Urinary tract infection is a common problem in children. To evaluate for reflux most authorities recommend a voiding cystourethrogram 3 to 6 weeks after the first urinary tract infection. But during the 3 to 6 weeks interval, patients may fail to show up for the scheduled VCUG and thus risk for loss of follow up. We analyzed patient's records to evaluate whether the timing of VCUG after UTI influenced the prevalence or severity of VUR.
Methods : We retrospectively reviewed 213 children diagnosed with UTI from March 1997 to December 2000. These children were divided into 2 groups according to whether they had VCUG scheduled to be performed either within 1 weeks after the diagnosis of UTI (Group A) or later than 1 week after the diagnosis(Group B). We compared tile presence and severity of reflux in the 2 groups.
Results : Reflux was present in $19%$ of the patients studied within 1 week after UTI and in $18%$ of those studied after 1 week. This difference was not statistically significant. Whereas $100%$ of the scheduled VCUGs in the Group A were performed, only $48%$ of those scheduled in the Group B were performed. This difference is statistically significant.
Conclusion : Because there was no significant difference between the presence or severity of reflux and timing of VCUG after UTI, we suggest that a hospitalized patient with UTI should have VCUG performed before discharge. (J. Korean Sor Pediatr Nephrol 2001 ;5 : 176-81)
Key words: Urinary tract infection | Vesicoureteral reflux | Voiding cystourethrogram

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