{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:13:30Z","timestamp":1778084010048,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      Urinary tract infection (\n                      <jats:styled-content style=\"fixed-case\">UTI<\/jats:styled-content>\n                      ) is the most common and significant complication after voiding cystourethrography (\n                      <jats:styled-content style=\"fixed-case\">VCUG<\/jats:styled-content>\n                      ) but the reported incidence in children varies highly. Therefore, the aim of this study was to evaluate the rate and possible risk factors for\n                      <jats:styled-content style=\"fixed-case\">UTIs<\/jats:styled-content>\n                      after\n                      <jats:styled-content style=\"fixed-case\">VCUG<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A multicentre retrospective cohort study of children &lt;\u200915\u2009years of age undergoing VCUG between 2017 and 2022 was conducted. Lower UTI (cystitis) and febrile UTI (pyelonephritis) within 14\u2009days of VCUG were registered, defined by clinical assessment and a positive urinary culture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One thousand and one examinations were included (median age 1\u2009year, 52% boys). Previous febrile UTI was present in 58%. Pathology was found in 47% of children, of which 83% had vesicoureteral reflux (VUR). Post VCUG UTI occurred in 34 (3.4%) children within 14\u2009days, of which 60% were within 7\u2009days and 88% were febrile. Only dilating VUR increased the risk for post VCUG UTI (adjusted odds ratio 5.4 [2.6\u20138.7]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was a low rate of post VCUG UTIs. Since children with dilated VUR are at risk for chronic kidney injury, targeted interventions after VCUG could possibly lower additional UTIs in this group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70437","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:01:07Z","timestamp":1767031267000},"page":"972-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low Risk for Urinary Tract Infection After Voiding Cystography in Children Without Dilated Vesikoureteral Reflux"],"prefix":"10.1111","volume":"115","author":[{"given":"Emelie","family":"Widhe","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mette","family":"Hambraeus","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"Paediatrics, Department of Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Hedstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Radiology Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"Diagnostic Radiology, Department of Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"B\u00f6rjesson","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"Paediatrics, Department of Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Sal\u00f6","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Sk\u00e5ne University Hospital  Lund Sweden"},{"name":"Paediatrics, Department of Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2590"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050535"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(76)80121-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-005-1942-5"},{"issue":"2","key":"e_1_2_10_6_1","first-page":"68","article-title":"Urinary Tract Infection in Children Undergoing Diagnostic Voiding CYSTOURETHROGRAPHY","volume":"15","author":"Khemchand J. P.","year":"2010","journal-title":"Journal of Surgery Pakistan (International)"},{"key":"e_1_2_10_7_1","first-page":"14","article-title":"Urinary Tract Infections Following Voiding Cystourethrography in Children","volume":"43","author":"Onay \u00d6. S.","year":"2008","journal-title":"T\u00fcrk Ped Arfl 2008"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)68140-0"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)92169-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05217-5"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/1984-0462\/2021\/39\/2019386"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2017.04.018"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-024-05883-y"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70437","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.70437","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70437","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T15:26:55Z","timestamp":1778081215000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.70437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,29]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/apa.70437"],"URL":"https:\/\/doi.org\/10.1111\/apa.70437","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,29]]},"assertion":[{"value":"2025-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}