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Usefulness of 99mTc Dimercaptosuccinic acid scans after the first episode of urinary tract infection in children admitted to the Lady Ridgeway Hospital for Children, Sri Lanka

Authors:

K G Pathirana ,

Department of Radiology, The Lady Ridgeway Hospital for Children, Colombo, Sri Lanka., LK
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J Fernando,

Department of Radiology, The Lady Ridgeway Hospital for Children, Colombo, Sri Lanka., LK
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N Samarasinghe,

Department of Radiology, The Lady Ridgeway Hospital for Children, Colombo, Sri Lanka., LK
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W D Duminda,

Department of Radiology, The Lady Ridgeway Hospital for Children, Colombo, Sri Lanka., LK
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D P Ranasinghe,

Sri Jayawardenepura General Hospital, Kotte, Sri Lanka., LK
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B Mahesh

Post graduate institute of Medicine, University of Colombo, Sri Lanka., LK
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Abstract

99mTc-DMSA scan is the best investigation to assess renal scarring after urinary tract infection (UTI) in children. The aim of this study was to describe the findings of DMSA scans done six months after the first UTI. A descriptive cross-sectional study was done among 110 boys and 80 girls selected by systematic sampling. Urine culture was positive in 164 (86.3%) children. There was no statistically significant association between the DMSA scan result and gender, family history of UTI (p=1.00), family history of vesico-ureteric reflux (p=1.00), febrile UTI (p=0.134) and positive urine culture (p=1.00).In 93.7% of children DMSA scan was negative. Hence routinely recommending DMSA scans following UTI must be reconsidered. 

DOI: https://doi.org/10.4038/cmj.v61i2.8290
How to Cite: Pathirana, K.G., Fernando, J., Samarasinghe, N., Duminda, W.D., Ranasinghe, D.P. and Mahesh, B., 2016. Usefulness of 99mTc Dimercaptosuccinic acid scans after the first episode of urinary tract infection in children admitted to the Lady Ridgeway Hospital for Children, Sri Lanka. Ceylon Medical Journal, 61(2), pp.80–82. DOI: http://doi.org/10.4038/cmj.v61i2.8290
Published on 23 Jun 2016.
Peer Reviewed

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