Predictive score for vesicoureteral reflux in children with a first febrile urinary tract infection.

Objective: To develop a simple score for predicting vesicoureteral reflux after a first febrile urinary tract infection in children.

Methods: A retrospective cohort study was conducted for a 12-year period (January 2008 to December 2019), including patients aged <72 months who underwent renal ultrasonography and voiding cystourethrography after a first febrile urinary tract infection. Patients with a history of antenatal hydronephrosis were excluded.

Diagnostic accuracy of urine heparin binding protein for pediatric acute pyelonephritis.

Unlabelled: Timely antibiotic initiation for acute pyelonephritis (APN) can prevent renal complications. We investigated whether urine heparin binding protein (UHBP), a cytokine released from activated neutrophils, was a useful diagnostic tool for APN. Febrile children with presumed APN were prospectively enrolled between January and September 2013, and divided into two groups based on urine cultures.