{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:05:42Z","timestamp":1786993542487,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jurology.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Urology"],"published-print":{"date-parts":[[2017,12]]},"DOI":"10.1016\/j.juro.2017.06.095","type":"journal-article","created":{"date-parts":[[2017,7,8]],"date-time":"2017-07-08T13:00:25Z","timestamp":1499518825000},"page":"1418-1423","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Distal Ureteral Diameter Ratio is Predictive of Breakthrough Febrile Urinary Tract Infection"],"prefix":"10.1097","volume":"198","author":[{"given":"Angela M.","family":"Arlen","sequence":"first","affiliation":[{"name":"Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa"},{"name":"Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Traci","family":"Leong","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Joseph","family":"Guidos","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan E.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa"},{"name":"Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"10.1016\/j.juro.2017.06.095_bib1","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.juro.2010.05.065","article-title":"Summary of the AUA guideline on management of primary vesicoureteral reflux in children","volume":"184","author":"Peters","year":"2010","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib2","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1542\/peds.2011-1330","article-title":"Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months","volume":"128","author":"Roberts","year":"2011","journal-title":"Pediatrics"},{"key":"10.1016\/j.juro.2017.06.095_bib3","doi-asserted-by":"crossref","first-page":"e1051","DOI":"10.1542\/peds.2011-3615","article-title":"Section on Urology response to new guidelines for the diagnosis and management of UTI","volume":"129","author":"Wan","year":"2012","journal-title":"Pediatrics"},{"key":"10.1016\/j.juro.2017.06.095_bib4","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1016\/j.eururo.2014.11.007","article-title":"Urinary tract infections in children: EAU\/ESPU guidelines","volume":"67","author":"Stein","year":"2015","journal-title":"Eur Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib5","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/j.jpurol.2014.10.002","article-title":"Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD\u00a0classification system)","volume":"10","author":"Nguyen","year":"2014","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib6","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1542\/peds.2015-0409","article-title":"Risk factors for recurrent urinary tract infection and renal scarring","volume":"136","author":"Keren","year":"2015","journal-title":"Pediatrics"},{"key":"10.1016\/j.juro.2017.06.095_bib7","doi-asserted-by":"crossref","first-page":"183.e1","DOI":"10.1016\/j.jpurol.2015.04.009","article-title":"Utility of the distal ureteral diameter on VCUG for grading VUR","volume":"11","author":"Cooper","year":"2015","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib8","first-page":"207.e1","article-title":"Inter-rater reliability of distal ureteral diameter ratio compared to grade of VUR","volume":"13","author":"Swanton","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpurol.2017.01.012","article-title":"Validation of the ureteral diameter ratio for predicting early spontaneous resolution of primary vesicoureteral reflux","author":"Arlen","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib10","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/BF02388714","article-title":"International system of radiographic grading of vesicoureteric reflux. International Reflux Study in Children","volume":"15","author":"Lebowitz","year":"1985","journal-title":"Pediatr Radiol"},{"key":"10.1016\/j.juro.2017.06.095_bib11","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jpurol.2011.12.011","article-title":"Distal ureteral diameter measurement objectively predicts vesicoureteral reflux outcome","volume":"9","author":"Cooper","year":"2013","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib12","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S0025-7125(16)30454-0","article-title":"Epidemiology and natural history of urinary tract infections in children","volume":"75","author":"Stull","year":"1991","journal-title":"Med Clin North Am"},{"key":"10.1016\/j.juro.2017.06.095_bib13","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0022-3476(05)81531-8","article-title":"Prevalence of urinary tract infection in febrile infants","volume":"123","author":"Hoberman","year":"1993","journal-title":"J Pediatr"},{"key":"10.1016\/j.juro.2017.06.095_bib14","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1111\/j.1651-2227.1998.tb01502.x","article-title":"Incidence rate of first-time\u00a0symptomatic urinary tract infection in children under 6 years of age","volume":"87","author":"M\u00e5rild","year":"1998","journal-title":"Acta Paediatr"},{"key":"10.1016\/j.juro.2017.06.095_bib15","doi-asserted-by":"crossref","first-page":"673","DOI":"10.3928\/00904481-20081001-01","article-title":"Management of infants and young children with fever without source","volume":"37","author":"Baraff","year":"2008","journal-title":"Pediatr Ann"},{"key":"10.1016\/j.juro.2017.06.095_bib16","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1001\/jama.298.2.179","article-title":"Recurrent urinary tract infections in children: risk factors and association with prophylactic antimicrobials","volume":"298","author":"Conway","year":"2007","journal-title":"JAMA"},{"key":"10.1016\/j.juro.2017.06.095_bib17","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.juro.2010.03.076","article-title":"Vesicoureteral reflux associated renal damage: congenital reflux nephropathy and acquired renal scarring","volume":"184","author":"Peters","year":"2010","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib18","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.jpurol.2017.02.023","article-title":"Role of\u00a0antibiotic prophylaxis in antenatal hydronephrosis: a systematic review from the European Association of Urology\/European Society for Paediatric Urology Guidelines Panel","volume":"13","author":"Silay","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib19","doi-asserted-by":"crossref","first-page":"2367","DOI":"10.1056\/NEJMoa1401811","article-title":"Antimicrobial prophylaxis for children with vesicoureteral reflux","volume":"370","author":"Hoberman","year":"2014","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.juro.2017.06.095_bib20","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.juro.2010.01.061","article-title":"The Swedish Reflux Trial in Children: III. Urinary tract infection pattern","volume":"184","author":"Brandstr\u00f6m","year":"2010","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib21","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.juro.2007.03.161","article-title":"Predictive factors of early spontaneous resolution in children with primary vesicoureteral reflux","volume":"178","author":"Knudson","year":"2007","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib22","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1007\/s00467-003-1109-1","article-title":"Acute pyelonephritis and sequelae of renal scar in pediatric first febrile urinary tract infection","volume":"18","author":"Lin","year":"2003","journal-title":"Pediatr Nephrol"},{"key":"10.1016\/j.juro.2017.06.095_bib23","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1007\/s00467-006-0063-0","article-title":"Ten-year results of randomized treatment of children with severe vesicoureteral reflux. Final report of the International Reflux Study in Children","volume":"21","author":"Jodal","year":"2006","journal-title":"Pediatr Nephrol"},{"key":"10.1016\/j.juro.2017.06.095_bib24","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1016\/j.juro.2014.10.002","article-title":"Bladder volume at onset of vesicoureteral reflux is an independent risk factor for breakthrough febrile urinary tract infection","volume":"193","author":"Alexander","year":"2015","journal-title":"J Urol"},{"issue":"suppl.","key":"10.1016\/j.juro.2017.06.095_bib25","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1016\/j.juro.2012.06.032","article-title":"The RIVUR voiding cystourethrogram pilot study: experience with radiologic reading concordance","volume":"188","author":"Greenfield","year":"2012","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib26","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jpurol.2016.06.020","article-title":"Reliability of grading of vesicoureteral reflux and other findings on voiding cystourethrography","volume":"13","author":"Schaeffer","year":"2017","journal-title":"J\u00a0Pediatr Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib27","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1016\/S0022-5347(01)64882-1","article-title":"Pediatric Vesicoureteral Reflux Guidelines Panel summary report on the management of primary vesicoureteral reflux in children","volume":"157","author":"Elder","year":"1997","journal-title":"J Urol"},{"key":"10.1016\/j.juro.2017.06.095_bib28","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jpurol.2011.03.004","article-title":"Dysfunction elimination syndrome: is age at toilet training a determinant?","volume":"7","author":"da Fonseca","year":"2011","journal-title":"J Pediatr Urol"}],"container-title":["Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022534717770863?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022534717770863?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.jurology.com\/doi\/pdf\/10.1016\/j.juro.2017.06.095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T12:51:04Z","timestamp":1659185464000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jurology.com\/doi\/10.1016\/j.juro.2017.06.095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1016\/j.juro.2017.06.095"],"URL":"https:\/\/doi.org\/10.1016\/j.juro.2017.06.095","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.727798409.793554497","asserted-by":"object"}]},"ISSN":["0022-5347","1527-3792"],"issn-type":[{"value":"0022-5347","type":"print"},{"value":"1527-3792","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Distal Ureteral Diameter Ratio is Predictive of Breakthrough Febrile Urinary Tract Infection","name":"articletitle","label":"Article Title"},{"value":"The Journal of Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.juro.2017.06.095","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION AND RESEARCH, INC.","name":"copyright","label":"Copyright"}]}}