INTRODUCTION: @entity3025 ( @entity3025 ) is a common pediatric @entity5450 . After the first @entity293 ( @entity293 ), imaging studies are recommended, starting with a @entity8 ( @entity8 ). Voiding cystourethrography (VCUG) and @entity9409 ( @entity9409 ) scan are the other main radiologic studies used to detect @entity3025 . We evaluated the use of @entity8 as a screening method for @entity3025 in @entity1 below 2 years of age, in order to avoid unnecessary VCUG. MATERIALS AND METHODS: Medical records and imaging studies of @entity1 (<2 years) who had their first @entity293 in a 6 year period were retrospectively reviewed. We evaluated the sensitivity, specificity, and negative predictive values of @entity8 and @entity9409 for diagnosing @entity3025 . RESULTS: Among 155 @entity1 (51% males) with their first @entity293 , 148 @entity8 were performed, 128 VCUG and 29 @entity9409 . @entity3025 was detected in 21% @entity1 ; 14.5% low grade and 6.5% high grade. One hundred and twenty-one @entity1 underwent both @entity8 and VCUG, 101 @entity8 were normal and 20 abnormal. Of the normal @entity8 98% had no or low grade @entity3025 . Among those with an abnormality on @entity8 30% had high grade @entity3025 (P < 0.001). CONCLUSIONS: After the first @entity293 in @entity1 (<2 years) @entity8 is a good screening method for @entity3025 . Among such shildren with a normal @entity8 , we do not recommend VCUG or @entity9409 . In our opinion, VCUG should be performed only in @entity1 with abnormal findings in @entity8 or in recurrent @entity293 .

Practical approach to screen vesicoureteral reflux after a first XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'infants'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal ultrasound', 'RUS'] @entity5450 :: ('MESH:D014570', 'Disease') :: ['urologic disorder'] @entity9409 :: ('MESH:D004113', 'Chemical') :: ['DMSA', 'dimercaptosuccinic acid'] @entity3025 :: ('MESH:D014718', 'Disease') :: ['VUR', 'Vesicoureteral reflux'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection', 'UTI']
@entity293 :: (MESH:D014552,Disease) :: ['urinary tract infection']
