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NCT05814250

Ultrasonography in Children With First Febrile Urinary Tract Infection

Recruiting now Last updated 12 June 2024
What this trial tests

trial in Urinary Tract Infections in 20 participants. Currently enrolling.

Timeline
13 June 2022
Primary endpoint
31 March 2025
31 March 2028

Quick facts

Lead sponsorIRCCS Burlo Garofolo
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment20
Start date13 June 2022
Primary completion31 March 2025
Estimated completion31 March 2028
Sites3 locations across Italy

Conditions studied

Sponsor

IRCCS Burlo Garofolo — full company profile →

Who can join

Adults 2 Months to 3, any sex, with Urinary Tract Infections. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In recent decades, different tests have been recommended by guidelines in the management of first febrile urinary tract infection (fUTI) in children, including kidney ultrasound (KUS), cystography (VCUG) and renal scintigraphy in order to exclude underlying kidney anomalies. The majority of guidelines, continue to recommend a routine KUS for all children at the first fUTI. On the other hand, as this approach is not based on robust evidence, other guidelines suggest that KUS should only be performed on selected patients according to specific risks. Despite being a non-invasive and radiation-free method, KUS tests negative in 83% of cases of fUTIs and possesses low specificity for low grade vesico-ureteral reflux (VUR). Since VUR is the most commonly associated renal malformation with UTI, it is evident that all the guidelines focus on the research of VUR, especially in times when antenatal ultrasound allows to screen for major congenital anomalies of kidney and urinary tract (CAKUT). However, VUR-associated nephropathy appears to be related to primary dysplastic damage rather than to be secondary to the reflux itself and not preventable from antibiotic prophylaxis in terms of recurrence and of kidney scar. To reduce the number of normal VCUGs performed, recent evidence regarding VUR suggests that the presence of pathogens different from E. coli and UTI recurrence may help to identify children who necessitate further investigations. A preliminary retrospective monocentric study enrolling all patients aged 2 to 36 months diagnosed with first fUTI who subsequently underwent US evaluation of the kidneys and urinary tract, found that atypical germ and recurrence of UTI exhibits a 85% sensitivity to detect pathological ultrasound. The aim of this multicentric study is to prospectively evaluate the diagnostic accuracy of the presence of atypical germ combined with the recurrence of UTI in predicting the positivity of KUS in children aged 2 months to 3 years old with first episode of fUTI

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Urinary Tract Infections

Currently open trials in the same condition.

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Data sources for this page

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