چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| افشین قلعه گلاب بهبهانی | اول |
| عنوان | متن |
|---|---|
| کلمات کلیدی | children, VCUG, VUR |
| خلاصه مقاله | Introduction and Background: Voiding cystourethrography (VCUG) is the most commonly performed fluoroscopic examination for children. Besides; it is a very stressful urological assessment performed on children. Therefore, pediatricians are expected to follow restrict indications when decide to prescribe VCUG for a child and exactly consider its contraindications too. Discussion: The prerequisites that a pediatrician must necessarily consider before prescribing the VCUG for a child are as followings: absence of active urinary tract infection (UTI), correction of Labial adhesion before examination, and administration of an appropriate prophylactic antibiotic. VCUG is commonly indicated in following situations: 1- After urinary tract infection (UTI) 2- Perinatally diagnosed hydronephrosis - hydroureter 3- Congenital anomalies of kidney(s) and/or urinary tract such as posterior urethral valve (PUV), 4- Genitourinary trauma, 5- Urolithiasis 6- Dysuria /difficulty voiding / bladder outlet obstruction 7- Assessment of unstable bladder; 8- R/o vesico-ureteral reflux (VUR). 9- Postoperative urinary tract evaluation 10- Dysfunctional voiding / Neurogenic bladder / Incontinence 11- Hematuria In evaluation of a child with UTI; VCUG is not recommended routinely after the first febrile UTI, unless it is either atypical/complicated or accompanied by ultrasonographic findings. Atypical UTI includes: decreased urine flow, critically ill patient, high creatinine level, septicemia, abdominal or bladder mass, no response to treatment within 48 hours and non Ecoli infections. VCUG is indicated even in the first UTI if kidney and urinary tract ultrasonography reveals hydronephrosis, scarring, or other findings that could suggest VUR or obstruction. VCUG is always indicated in recurrent UTI defined as: two or more episodes of febrile upper UTI (or acute pyelonephritis); or one episode of acute pyelonephritis and an episode of lower UTI (or cystitis); or three or more episodes of lower UTI. Conclusion: Decision making for prescription of VCUG in a pediatric patient must be always based on assessment of its cost-benefit ratio. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| International Congress on New Advances in Pediatric and Neonatal Diseases 2015.pdf | 1398/06/18 | 2228894 | دانلود |
| Certificate tajviz manteghi Daru CME 2015.pdf | 1398/06/18 | 105523 | دانلود |
