Volume : 08, Issue : 01, January – 2021

120.STUDY TO DETERMINE THE EFFICACY OF RENAL ULTRASONOGRAM IN CHILDREN WITH URINARY TRACT INFECTION

Dr Muhammad Muntazir Mehdee, Dr Afshan Riaz, Dr Salman Aslam

Abstract :

Aim: The aim of the study was to evaluate the ultrasound of the kidneys in children and adolescents admitted with uncomplicated urinary tract infections.
Patients and Methods: This retrospective study was conducted at the Pediatric Unit-I and Radiology department of Nishtar Hospital Multan for one-year duration from June 2019 to June 2020. Cases with a positive urine culture were included in the study. Positive urine culture was defined as 100,000 CFU / mL in the midstream or urine bag sample, or 10,000 CFU / mL in the suprapubic sample. Gender, age, ultrasound results, VCUG and DMSA scan results were recorded. For comparison, the T test, chi-square and ANOVA were used. SPSS version 18.0 (SPSS Inc, Chicago, II, USA) was used for the analysis.
Results: Our study included 625 cases. Hydronephrosis (56.40%); bladder wall thickness 33 (23.57%); hydroureter 13 (9.29%); The most common symptoms were parenchyma echogenicity 8 (5.71%) and calculus 6 (4.29%). Of 538 renal ultrasound scans, 398 (73.97%) were normal and 140 were abnormal (26.03%) (p <0.0001). The sensitivity, specificity, positive predictive value, and negative RUS predictive value for VUR were 42.68%, 78.96%, 38.04%, and 81.99%, respectively.
Conclusion: In cases with UTI, the majority of kidney ultrasound results were normal. Hydronephrosis was the most frequently reported abnormality among VUR cases.

Keywords: ultrasonography, urinary tract infection, urethral bladder drainage, VUR

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