LAUSR

ObjectivesTo assess yield of imaging performed as per Indian Society of Pediatric Nephrology (ISPN) urinary tract infection (UTI) guideline.MethodsUltrasonography (USG), voiding cystourethrography (VCUG) and dimercaptosuccinic-acid (DMSA) scintigraphy were performed in 183 children (age 0–5y) with first episode (age 0–1y) of UTI or recurrent (age <5y) UTI, as per ISPN recommendations.ResultsSignificant abnormalities were detected in 110 (63%), with vesicoureteric reflux (VUR) grades 3–5 in 31% and renal scars in 43%. Combined USG and DMSA had a negative predictive value of 94% for significant VUR.ConclusionISPN guideline resulted in a high yield of detection of significant abnormalities.