Ultrasound post UTI sufficient to detect CKD risk

ULTRASONOGRAPHY to check for structural abnormalities in the kidneys after a urinary tract infection (UTI) in childhood is sufficient to identify patients at risk of developing chronic kidney disease (CKD), researchers say.

The findings of a systematic review and case series from Finland, which support trends in current Australian practice, suggest vesicoureteral reflux (VUR) with UTI but without structural abnormalities “seems not to cause CKD”.

The aetiological fraction of childhood UTIs as a cause of CKD in adulthood was likely less than 1%, the researchers said.

An accompanying editorial by Professor Jonathan Craig from the Centre for Kidney Research at the Children’s Hospital at Westmead, NSW, and Dr Gabrielle Williams at the University of Sydney, said the study “adds to the totality of evidence that shows that UTI in childhood does not cause CKD”.

The real causes of CKD were congenital structural