Clinical Perspective

A case-based approach to UTI imaging – making sense of the guidelines

Tracy Kilborn, Halvani Moodley, Anita Brink, Peter Nourse
South African Journal of Radiology | Vol 19, No 2 | a877 | DOI: https://doi.org/10.4102/sajr.v19i2.877 | © 2015 Tracy Kilborn, Halvani Moodley, Anita Brink, Peter Nourse | This work is licensed under CC Attribution 4.0
Submitted: 01 June 2015 | Published: 18 December 2015

About the author(s)

Tracy Kilborn, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa, South Africa
Halvani Moodley, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa
Anita Brink, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa
Peter Nourse, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa

Abstract

Urinary tract infections (UTIs) are common amongst children and invariably result in imaging tests to look for correctable causes that may predispose the child to infection. The objective of imaging is to identify those children at risk of long-term renal damage. The ideal imaging algorithm is extensively debated in the literature owing to the lack of evidence-based data, evolving theories on the pathophysiology of UTI and vesicoureteric reflux (VUR). The present article provides a case-based approach to the imaging of UTIs and proposes guidelines relevant to the South African setting.

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