CT Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis with IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CTU Without and With IV Contrast There is no relevant literature to support the use of CTU in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. DMSA Renal Scan Tc-99m DMSA is a sensitive (90%) and specific (95%) test for detecting pyelonephritis [46]. The NICE guidelines do not suggest DMSA renal scan if the patient responds well to treatment within 48 hours. A delayed DMSA renal scan (4-6 months) to evaluate for renal scarring in high-risk patients with atypical or recurrent UTI is recommended Urinary Tract Infection-Child [16]. Evidence of acute pyelonephritis is detected by DMSA in children with UTIs in approximately 50% to 80% of cases [47-52]. However, short-term studies have demonstrated that many of these abnormalities resolve over time, irrespective of whether a prophylactic antibiotic was used [53-55]. This suggests little benefit in using renal cortical scintigraphy after the first episode of UTI [5]. Furthermore, the high incidence of pyelonephritis identified on DMSA suggests that performing DMSA will not change the need to perform VCUG in many patients.
Urinary Tract Infection Child. CT Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis with IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. CTU Without and With IV Contrast There is no relevant literature to support the use of CTU in the evaluation of a child 2 months to 6 years of age for the initial imaging of a first febrile UTI. DMSA Renal Scan Tc-99m DMSA is a sensitive (90%) and specific (95%) test for detecting pyelonephritis [46]. The NICE guidelines do not suggest DMSA renal scan if the patient responds well to treatment within 48 hours. A delayed DMSA renal scan (4-6 months) to evaluate for renal scarring in high-risk patients with atypical or recurrent UTI is recommended Urinary Tract Infection-Child [16]. Evidence of acute pyelonephritis is detected by DMSA in children with UTIs in approximately 50% to 80% of cases [47-52]. However, short-term studies have demonstrated that many of these abnormalities resolve over time, irrespective of whether a prophylactic antibiotic was used [53-55]. This suggests little benefit in using renal cortical scintigraphy after the first episode of UTI [5]. Furthermore, the high incidence of pyelonephritis identified on DMSA suggests that performing DMSA will not change the need to perform VCUG in many patients.