Aggiornamento monografico
Pielonefrite e reflusso vescico-ureterale
ACUTE PYELONEPHRITIS AND VESICOURETERAL REFLUX
LEOPOLDO PERATONER1, GIANANTONIO MANZONI2
1Unità Operativa di Pediatria, Azienda Ospedaliera di Pordenone
2Unità Operativa di Urologia, Sezione di Urologia Pediatrica, Azienda Ospedaliera di Varese
Novembre 1999 - pagg. 550 -554
Abstract
There is no consensus on the most cost-effective approach to the diagnosis of acute pyelonephritis
(APN) and on the best therapeutic approach to vesicoureteral reflux (VUR). Not
enough attention is payed to the diagnosis of urinary tract infection, while there is an excess
of diagnostic procedures to confirm APN and to search for VUR. Available evidence
shows that fever and abnormal urine analysis are sufficient to make the diagnosis of APN.
Ultrasonography can further restrict the indications to cystourethrogram. A conservative
approach to VUR is effective in the great majority of cases.
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