{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:42:41Z","timestamp":1789515761942,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the relationship between bladder debris found on renal and bladder ultrasonography (RBUS) and the first febrile urinary tract infection (UTI) episode in children under 2\u2009years old.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the data of children aged &lt;2\u2009years with the first febrile UTI. We recorded bladder debris on RBUS and other findings (blood test, urinalysis, and urine culture). Other RBUS findings (renal pelvis debris, renal parenchymal change, wall thickening, and renal collecting system [RCS] dilatation) were recorded. Patients were divided into the debris (D) and non\u2010D groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 128 patients (boys: girls = 81:47, mean age = 5.6\u2009\u00b1\u20094.2 months), 24 (18.8%) had bladder debris. The mean C\u2010reactive protein (CRP) levels were higher in the D group (6.1\u2009\u00b1\u20094.0 vs 4.3\u2009\u00b1\u20093.5, <jats:italic>P<\/jats:italic> = .03). Twenty\u2010one patients in the D group (87.5%) had hematuria (odds ratio = 3.706, 95% confidence interval = 1.035\u201013.267, <jats:italic>P<\/jats:italic> = .04). No significant differences were seen in the urine culture results between both groups. Significant associations were seen between bladder debris and other RBUS findings such as debris in renal pelvis, renal parenchymal change, and RCS wall thickening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Bladder debris on RBUS is a common finding in children aged &lt;2\u2009years during the first febrile UTI. Bladder debris was related to higher CRP levels, hematuria and sonographic findings, but not to urine culture results.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.22964","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T16:24:16Z","timestamp":1607963056000},"page":"189-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Significance of sonographically detected bladder debris in children less than 2\u2009years old with febrile urinary tract infection"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1026-5809","authenticated-orcid":false,"given":"Sun Kyoung","family":"You","sequence":"first","affiliation":[{"name":"Department of Radiology Chungnam National University Hospital, Chungnam National University College of Medicine  Daejeon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiwon M.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Chungnam National University Hospital, Chungnam National University College of Medicine  Daejeon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong\u2010Eun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology Chungnam National University Hospital, Chungnam National University College of Medicine  Daejeon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung Sook","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Radiology Chungnam National University Hospital, Chungnam National University College of Medicine  Daejeon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Mi","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, School of Medicine Kyungpook National University, Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun\u2010Hae","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Radiology and Medical Research Institute College of Medicine, Ewha Womans University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1330"},{"key":"e_1_2_7_3_1","first-page":"29","article-title":"Artifacts in diagnostic ultrasound","volume":"6","author":"Hindi A","year":"2013","journal-title":"Rep Medical Imaging"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-018-1513-4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.09024"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2017.04.020"},{"key":"e_1_2_7_7_1","first-page":"3334","article-title":"Particulate echoes within 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