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Evidence Based Medicine

Post-UTI Renal US

Amna Abdalla

Amna AlNakhiHafsa Ahmed

Bassam Tariq

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Objectives

Introduction & Aim I!O

"evel of evidence Methods #esults $ood and Bad thin%s about the article

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INTRODUCTION & AIM

Amna Abdalla

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Article

2007Achieves of Disease in Childhood

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Introduction

TI is relativel' (revalent in children) affectin% *+,- offemales and ./,- of males/

ur(ose of #0 (ost1TI is to detect urinar' tract

abnormalities2 3esicourethral reflu4 53#6 Obstruction of the urinar' tract reterocele

#enal scarrin% Aim:asses the concordance of late (re%nanc' and (ost1

TI renal ultrasono%ram in children 7ith first (rovensim(le TI/

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I!O 8ormat

P Children 5 years old with proven UTI

I Post-UTI Renal Ultrasonogram

C Ante-natal Renal Ultrasonogram

O Post-UTI RUS findings

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"evel of Evidence

Level IIb

Prospective Cohort Study

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METHODS

)A PROSPECTIVE STUDY)

Amna AlNakhi

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0tud' atients

Children aged 5 years or less.

ospitali!ed with first simple UTI "determined as #lini#al responseand normali!ation of temperat$re within %& h on initiation of

anti'a#terial therapy with no #ompli#ations(.

RUS ) voiding-CU* performed within + wee,s of dis#harge.

ata were #olle#ted regarding the res$lts of prenatal and post-UTI

RUS.

*rading of the RUS findings were divided into mild moderate )severe pelvi# dilation.

An informed #onsent was o'tained form the parents/g$ardians.

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0tatistical Anal'sis

A 051 #onfiden#e intervals "051 CI(#al#$lated for the predi#tive val$e ofnormal prenatal to normal post-UTIRUS were #al#$lated $sing the SPSS22.5 statisti#al pa#,age tests.

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RESULTS

Hafsa Ahmed

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#esults

354 patients 340 $sed 340 24 non-simple UTI with

immediate Renal US

Pre and PostUTI US res$lts normal 200 Pts ormal Pre/Post Renal

US Predi#tive val$e 0+1 "051 CI6 071 -

001(

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#esults

7 with Pre UTI Renal US 8idneyanomalies Anomaly was not fo$nd in 2 pt with Post UTI RUS

0 with Post UTI Renal US 8idneyanomalies 3 had anomaly on Pre UTI RUS

2 9Pre UTIRUS Post UTI RUS3

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#esults

:oiding Cysto$rethrography ":CU*(59 patients "9& 8idneys( withvesi#o$rethral refl$;. 091 ormal Pre- UTI RUS 041 ormal Post < UTI RUS Predi#tive val$e of ormal Pre- UTI

RUS to ormal :CU*

97.71 "051CI6 +91 to 051(

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PROS & CONS

Bassam Tariq

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$ood thin%s about the article

The st$dy addressed a fo#$sed iss$e .

The type of the st$dy 6 Prospe#tive st$dy with single'linding

The $se of stri#t #lini#al #riteria for the assignment ofthe st$dy sample

Complete #on#ordan#e 'etween pre- and postnatalRUS was do#$mented in "0+1( of the #hildren

All #lini#ally important o$t#omes were #onsidered

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Bad thin%s about the article

o randomi!ation

In#l$ded all #hildren aged 5 years oryo$nger

o 2441 sensitive s#reeningmodality is $sed in the st$dy

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