Abstract
Accepted 19 November 1996
OBJECTIVE—To test the medical belief that the micturating cystourethrogram (MCU) be deferred four to six weeks after acute symptomatic urinary tract infection (UTI) because of the risk of falsely detecting vesicoureteric reflux if performed earlier. STUDY DESIGN—A cross sectional analytic study of preschool children with first time symptomatic UTI. RESULTS—Of the 284 eligible children, 272 (95.8%) had MCU at a median time of 29 days after diagnosis (range 5 to 167 days). Vesicoureteric reflux was present in 77 children (28.3%). Beyond one week after diagnosis (270 children) the proportion and severity of vesicoureteric reflux detected was not associated with the timing of the MCU. Before one week, both children tested had vesicoureteric reflux. CONCLUSIONS—The presence and grade of vesicoureteric reflux is not influenced by the timing of the MCU one week after acute symptomatic UTI. There may be an association between the MCU and the presence of vesicoureteric reflux for children tested within one week after UTI. The MCU need not be deferred for four to six weeks after UTI.
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Selected References
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- Gross G. W., Lebowitz R. L. Infection does not cause reflux. AJR Am J Roentgenol. 1981 Nov;137(5):929–932. doi: 10.2214/ajr.137.5.929. [DOI] [PubMed] [Google Scholar]
- Hellström A., Hanson E., Hansson S., Hjälmås K., Jodal U. Association between urinary symptoms at 7 years old and previous urinary tract infection. Arch Dis Child. 1991 Feb;66(2):232–234. doi: 10.1136/adc.66.2.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JEFFS R. D., ALLEN M. S. The relationship betweeen ureterovesical reflux and infection. J Urol. 1962 Nov;88:691–695. doi: 10.1016/S0022-5347(17)64868-7. [DOI] [PubMed] [Google Scholar]
- Kaveggia L., King L. R., Grana L., Idriss F. S. Pyelonephritis: a cause of vesicoureteral reflux? J Urol. 1966 Feb;95(2):158–163. doi: 10.1016/S0022-5347(17)63426-8. [DOI] [PubMed] [Google Scholar]
- Middleton A. W., Jr, Nixon G. W. The lack of correlation between upper tract changes on excretory urography and significant vesicoureteral reflux. J Urol. 1980 Feb;123(2):227–228. doi: 10.1016/s0022-5347(17)55869-3. [DOI] [PubMed] [Google Scholar]
- Roberts J. A. Experimental pyelonephritis in the monkey. IV. Vesicoureteral reflux and bacteria. Invest Urol. 1976 Nov;14(3):198–201. [PubMed] [Google Scholar]
- Roberts J. A., Riopelle A. J. Vesicoureteral reflux in the primate: III. Effect of urinary tract infection on maturation of the ureterovesical junction. Pediatrics. 1978 Jun;61(6):853–857. [PubMed] [Google Scholar]
- SCHOENBERG H. W., BEISSWANGER P., HOWARD W. J., KLINGENMAIER H., WALTER C. F., MURPHY J. J. EFFECT OF LOWER URINARY TRACT INFECTION UPON URETERAL FUNCTION. J Urol. 1964 Aug;92:107–108. doi: 10.1016/S0022-5347(17)63900-4. [DOI] [PubMed] [Google Scholar]
- Smellie J. M., Normand I. C., Katz G. Children with urinary infection: a comparison of those with and those without vesicoureteric reflux. Kidney Int. 1981 Dec;20(6):717–722. doi: 10.1038/ki.1981.201. [DOI] [PubMed] [Google Scholar]
- Sommer J. L., Roberts J. A. Ureteral reflux resulting from chronic urinary infection in dogs: long-term studies. J Urol. 1966 Apr;95(4):502–510. doi: 10.1016/S0022-5347(17)63487-6. [DOI] [PubMed] [Google Scholar]