A STUDY ON RADIOLOGICAL PROFILE OF URINARY TRACT INFECTIONS IN CHILDREN IN A TERTIARY CARE CENTRE

R.Padmaraj; R.Manorajan

Volume : VIII, Issue : III, March - 2019

A STUDY ON RADIOLOGICAL PROFILE OF URINARY TRACT INFECTIONS IN CHILDREN IN A TERTIARY CARE CENTRE

R. Padmaraj, R. Manorajan

Abstract :

Objectives: To study the radiological profile of children with urinary tract infections. Design: Descriptive study Setting: Tertiary care teaching hospital Methods: All children <12 years attending OPD or admitted in wards with culture proven UTI / with symptoms suggestive of urosepsis. In children < 36 months presenting as fever alone without localizing signs. All were subjected to necessary investigations. Results:In this study,X–RAY KUB had detected 3 cases with baldder calculi and 6 cases of renal calculi,all of which were more than 8mm in diameter.7% of renal calculi were detected by X–RAY KUB ,14% of cases were detected by Ultrasound abdomen,and 29% of cases were detected by both Ultrasound and X–RAY KUB. Hydro–uretero–nephrosis was found in 48% of the cases. VUR was confirmed by Micturating cystourethrogram,which diagnosed 16% of cases to have positive reflex disease. Children who presented with severe upper UTI symptoms(87),MCU picked up 27 cases of VUR ,of which 24(88%) had DMSA abnormality. This signifies that VUR had been the cause of renal parenchymal infection.DMSA had picked up 88% of VUR induced upper UTI