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Urinary tract infections

Withybush Hospital, Fishguard Road, Haverfordwest, Dyfed SA61 2PZ, UK

• There is no clear consensus on the imaging of children with urinary tract infections.
  
• There are three main investigations: voiding cystourethrography (VCUG), dimercaptosuccinic acid (DMSA) renogram and ultrasound.
  
• It is important that the investigations are tailored to the child dependent on the age of the child and the severity of the urinary tract infection.
  
• Most children with urinary tract infections have an excellent prognosis with resolution of reflux by 4 years of age.
  
• The greatest risk of renal involvement in urinary tract infection is in new-born boys and pre-school age girls.