First Febrile Urinary Tract Infection Â– Clinico-Biological Correlation with Imaging Studies - A Prospective Study
Vijayakumar M*, Geminiganesan S, Priyadarshini S, Sudha E and Prahlad N
Department of Pediatric Nephrology, Dr Mehta Children’s Hospitals, Chennai, India
- *Corresponding Author:
- Vijayakumar M
Head of the Department of Pediatric Nephrology
Dr Mehta Children’s Hospitals, 2(e)
McNichols Road, 2nd Street
Chetpet, Chennai 600031
Email: [email protected]
Received Date: February 17, 2014; Accepted Date: April 28, 2014; Published Date: May 1, 2014
Citation: Vijayakumar M, Geminiganesan S, Priyadarshini S, Sudha E, Prahlad N (2014) First Febrile Urinary Tract Infection – Clinico-Biological Correlation with Imaging Studies - A Prospective Study. J Nephrol Therapeutic 4:160. doi:10.4172/2161-0959.1000160
Copyright: © 2014 Vijayakumar M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Febrile urinary tract infection is one of the commonest infections in the childhood. Unrecognized and untreated childhood UTI can lead to scarring of the growing kidneys with subsequent hypertension and renal failure. This study has been done at a tertiary care medical centre to study the clinico - biological and imaging correlation in children with first episode of febrile UTI. Renal function tests, ultrasonogram, DMSA and MCU were done according to ISPN and institutional protocol. Imaging was done on follow up as per need. Majority of the children were found to be in 1 to 5 years age (68%) group and overall there was female preponderance (n=80; 53%). Dysuria was the commonest presentation in febrile UTI and E. coli, the commonest organism isolated. USG was found abnormal in 57.6% of children and DMSA done in acute phase picked up pyelonephritis in 81.5%. MCU revealed VUR in 39% of the study population. The study underlines the importance and efficacy of various investigations apart from the clinical presentation in diagnosing UTI and defining the associated risk factors.