International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website http://www.theijcp.org

Original Article

Volume 7, Number 1-2, April 2018, pages 6-12

The Role of Renal Ultrasound in Children With Febrile Urinary Tract Infection

Tables

Table 1. Ultrasonography Findings and Vesicoureteral Reflux in Children With the First Febrile UTI
 
US findings (n = 310)Odds ratio (95% CI)P
No VUR154493.4542.096 - 5.692< 0.001
VUR5156
  Grade I11
  Grade II25128.0806.174 - 127.710< 0.001
  Grade III2112
  Grade IV428
  Grade V014
Acute DMSA scan
  Abnormal105895.2982.911 - 9.640< 0.001
  Normal10016

 

Table 2. Diagnostic Performances of Renal Ultrasonography
 
ParameterGrades I-V VURGrades III-V VURRS
N56/10754/7955/85
Sensitivity (%)52.368.464.7
Specificity (%)75.977.977.8
PPV (%)53.351.452.4
NPV (%)75.1487.885.4
LR+2.173.102.91
LR-0.630.410.45

 

Table 3. Risk Factors of Renal Scarring Using Bivariate Analysis (N = 310)
 
ParameterRS+RS-Odds Ratio95% CIP
Age
  < 12701970.6630.3350.270
  > 121528
Sex
  Boys521430.9040.5410.8
  Girls3382
VUR
  No2318010.7836.040< 0.001
  Yes6245
VUR grade
  0-II2920216.9809.102< 0.001
  III-V5623
US findings
  Normal301756.4173.721< 0.001
  Abnormal5550
Significant urological abnormalities
  No662114.3392.062< 0.001
  Yes1914
Nephromegaly
  No71223224.83< 0.001
  Yes142

 

Table 4. Risk Factors of Renal Scarring Using Multivariant Analysis (N = 310)
 
ParameterRS +RS -Odds Ratio95% CIP
Age
  < 12701971.7930.7350.3270
  > 121528
Sex
  Boys521431.6740.8410.228
  Girls3382
VUR
  No231802.6826.940< 0.001
  Yes6245
VUR grade
  0-II2920215.1959.7102< 0.001
  III-V5623
US findings
  Normal301751.9573.8721< 0.001
  Abnormal5550
Significant urological abnormalities
  No662112.3672.962< 0.001
  Yes1914
Nephromegaly
  No7122325.1074.683< 0.001
  Yes142