The Top-Down Approach To Evaluation And Management Of UTIs In Children

Main Category: Urology / Nephrology
Also Included In: Pediatrics / Children's Health
Article Date: 11 Jun 2008 - 6:00 PDT

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ORLANDO, FL (UroToday.com) - John Duckett Memorial Lecture

State of the art lecture by Dr. A. Barry Belman addressed the evaluation of children with a urinary tract infection. He discussed what is known as the "top down approach".

The take home message of the lecture was to distinguish which children with vesicoureteral reflux are at high risk for renal scarring and long term effects of the process. The evaluation seems to favor a DMSA scan to assess renal defects in a child with VUR.

If the renal scan shows signs of scarring, then these children appear to be at a higher risk of subsequent scars or other deleterious effect of pyelonephritis. These children might benefit from surgical intervention.

Presented by A. Barry Belman, MD, at the Annual Meeting of the American Urological Association (AUA) - May 17 - 22, 2008. Orange County Convention Center - Orlando, Florida, USA.

Reported by UroToday.com Medical Editor Pasquale Casale, MD

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