Limited Indications for Voiding Cystourethrography Following UTI in Young Infants

VCUG can be avoided in infants with both an E. coli urinary tract infection and normal renal ultrasound results.

The necessity of performing a voiding cystourethrography (VCUG) following urinary tract infection (UTI) to identify clinically important vesicoureteral reflux (VUR) in infants aged <3 months old remains controversial. In a retrospective study involving 122 infants (80% boys; mean age, 45 days) admitted to a tertiary center with documented febrile bacterial UTI, researchers assessed how well abnormal renal ultrasound findings and non–Escherichia coli bacterial infection predicted high-grade VUR (grade III, IV, or V). All infants underwent renal ultrasound within 1 week of admission and VCUG between 2 and 8 weeks following UTI resolution.

Renal ultrasound was normal in 82%, and VCUG was normal in 80%. E. coli accounted for 72% of UTIs. The pro…

Reviewing Author

F. Bruder Stapleton, MD

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Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Limited Indications for Voiding Cystourethrography Following UTI in Young Infants

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Reviewing Author