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The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection
Advances in Urology, 06/16/09

Pohl HG et al. - The “top-down” evaluation provides an assessment of risk for renal scarring that strongly correlates with the presence of clinically relevant VUR. In addition to being a more cost-effective means of evaluating children with febrile UTIs, it is also predicted to lessen medical care costs by reducing the number of children on antibiotic prophylaxis and of children undergoing surgery for reflux that is unlikely to result in renal scarring.

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