{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T17:26:56Z","timestamp":1694194016196},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,15]],"date-time":"2016-02-15T00:00:00Z","timestamp":1455494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Selection of the appropriate radiologic investigation in a child after first febrile urinary tract infection (UTI) remains a contentious issue. This report investigated the effectiveness of renal bladder ultrasound (RBUS) and late 6\u2009month dimercaptosuccinic acid (DMSA) renal scan in the detection of high\u2010grade vesicoureteral reflux (VUR) after first febrile UTI in infants aged &lt;1\u2009year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 387 infants aged &lt;1\u2009year with first febrile UTI who completed diagnostic follow up consisting of RBUS, voiding cystourethrogram (VCUG) and late 6\u2009month DMSA scan were enrolled in the study. The effectiveness of RBUS and DMSA scan in the detection of high\u2010grade VUR, including cost and benefit were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Abnormal RBUS was identified in 95 infants (24.5%). VUR was identified on VCUG in 79 (20.4%), of whom eight (2.1%) had high\u2010grade VUR (grade IV\u2013V). Abnormal renal parenchyma was identified on late 6\u2009month DMSA scan in 22 infants (5.7%). The sensitivity of abnormal RBUS and of late 6\u2009month DMSA scan in the prediction of high\u2010grade VUR was 50% and 87.5%, and the proportion of infants who avoided unnecessary VCUG was 75.5% and 94.3%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fifty percent of high\u2010grade VUR was not identified on RBUS screening after first febrile UTI. Although late 6\u2009month DMSA scan had higher sensitivity in the detection of high\u2010grade VUR, with the added benefit of detection of renal scars, the practical application of this method was limited due to its high cost, radiation exposure and the associated delay in decision making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12803","type":"journal-article","created":{"date-parts":[[2015,8,14]],"date-time":"2015-08-14T13:42:09Z","timestamp":1439559729000},"page":"214-218","source":"Crossref","is-referenced-by-count":7,"title":["Renal ultrasound and DMSA screening for high\u2010grade vesicoureteral reflux"],"prefix":"10.1111","volume":"58","author":[{"given":"Kunruedi","family":"Wongbencharat","sequence":"first","affiliation":[{"name":"Maharat Nakhon Ratchasima Hospital  Nakhon Ratchasima Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yothi","family":"Tongpenyai","sequence":"additional","affiliation":[{"name":"Maharat Nakhon Ratchasima Hospital  Nakhon Ratchasima Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunyalak","family":"Na\u2010rungsri","sequence":"additional","affiliation":[{"name":"Maharat Nakhon Ratchasima Hospital  Nakhon Ratchasima Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1007755"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1998.tb01502.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1997.tb08601.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0685"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200018040-00019"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00856822"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050535"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-006-0147-x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-0911-1"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.4.843"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.04.004"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.190.2.8284391"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.07.067"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37555-9"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(96)70024-0"},{"key":"e_1_2_6_17_1","first-page":"36","article-title":"Guidelines for the management of acute urinary tract infection in childhood. 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