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ACR Appropriateness Criteria® Urinary Tract Infection-Child.

Publication ,  Journal Article
Expert Panel on Pediatric Imaging:, ; Karmazyn, BK; Alazraki, AL; Anupindi, SA; Dempsey, ME; Dillman, JR; Dorfman, SR; Garber, MD; Moore, SG ...
Published in: J Am Coll Radiol
May 2017

Urinary tract infection (UTI) is common in young children and may cause pyelonephritis and renal scarring. Long-term complications from renal scarring are low. The role of imaging is to evaluate for underlying urologic abnormalities and guide treatment. In neonates there is increased risk for underlying urologic abnormalities. Evaluation for vesicoureteral reflux (VUR) may be appropriate especially in boys because of higher prevalence of VUR and to exclude posterior urethral valve. In children older than 2 months with first episode of uncomplicated UTI, there is no clear benefit of prophylactic antibiotic. Ultrasound is the only study that is usually appropriate. After the age of 6 years, UTIs are infrequent. There is no need for routine imaging as VUR is less common. In children with recurrent or complicated UTI, in addition to ultrasound, imaging of VUR is usually appropriate. Renal cortical scintigraphy may be appropriate in children with VUR, as renal scarring may support surgical intervention. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2017

Volume

14

Issue

5S

Start / End Page

S362 / S371

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urinary Tract Infections
  • United States
  • Ultrasonography
  • Societies, Medical
  • Sex Factors
  • Recurrence
  • Radionuclide Imaging
  • Radiology
  • Nuclear Medicine & Medical Imaging
 

Citation

APA
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ICMJE
MLA
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Expert Panel on Pediatric Imaging:, ., Karmazyn, B. K., Alazraki, A. L., Anupindi, S. A., Dempsey, M. E., Dillman, J. R., … Coley, B. D. (2017). ACR Appropriateness Criteria® Urinary Tract Infection-Child. J Am Coll Radiol, 14(5S), S362–S371. https://doi.org/10.1016/j.jacr.2017.02.028
Expert Panel on Pediatric Imaging:, Brian D., Boaz K. Karmazyn, Adina L. Alazraki, Sudha A. Anupindi, Molly E. Dempsey, Jonathan R. Dillman, Scott R. Dorfman, et al. “ACR Appropriateness Criteria® Urinary Tract Infection-Child.J Am Coll Radiol 14, no. 5S (May 2017): S362–71. https://doi.org/10.1016/j.jacr.2017.02.028.
Expert Panel on Pediatric Imaging:, Karmazyn BK, Alazraki AL, Anupindi SA, Dempsey ME, Dillman JR, et al. ACR Appropriateness Criteria® Urinary Tract Infection-Child. J Am Coll Radiol. 2017 May;14(5S):S362–71.
Expert Panel on Pediatric Imaging:, Brian D., et al. “ACR Appropriateness Criteria® Urinary Tract Infection-Child.J Am Coll Radiol, vol. 14, no. 5S, May 2017, pp. S362–71. Pubmed, doi:10.1016/j.jacr.2017.02.028.
Expert Panel on Pediatric Imaging:, Karmazyn BK, Alazraki AL, Anupindi SA, Dempsey ME, Dillman JR, Dorfman SR, Garber MD, Moore SG, Peters CA, Rice HE, Rigsby CK, Safdar NM, Simoneaux SF, Trout AT, Westra SJ, Wootton-Gorges SL, Coley BD. ACR Appropriateness Criteria® Urinary Tract Infection-Child. J Am Coll Radiol. 2017 May;14(5S):S362–S371.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2017

Volume

14

Issue

5S

Start / End Page

S362 / S371

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urinary Tract Infections
  • United States
  • Ultrasonography
  • Societies, Medical
  • Sex Factors
  • Recurrence
  • Radionuclide Imaging
  • Radiology
  • Nuclear Medicine & Medical Imaging