Further investigation of confirmed urinary tract infection (UTI) in children under five years: a systematic review.

ABSTRACT:

Background

Further investigation of confirmed UTI in children aims to prevent renal scarring and future complications.

Methods

We conducted a systematic review to determine the most effective approach to the further investigation of confirmed urinary tract infection (UTI) in children under five years of age.

Results

73 studies were included. Many studies had methodological limitations or were poorly reported. Effectiveness of further investigations: One study found that routine imaging did not lead to a reduction in recurrent UTIs or renal scarring. Diagnostic accuracy: The studies do not support the use of less invasive tests such as ultrasound as an alternative to renal scintigraphy, either to rule out infection of the upper urinary tract (LR- = 0.57, 95%CI: 0.47, 0

SUBMITTER: Westwood ME 

PROVIDER: S-EPMC1079875 | biostudies-literature | 2005 Mar

REPOSITORIES: biostudies-literature