How are UTIs related to VUR?

Frequent febrile UTIs in children could be a symptom of VUR. In fact, VUR is present in nearly one third of children with a UTI1

Why are febrile UTIs such a concern in VUR?

VUR increases the chance of your child getting a febrile UTI, which could lead to kidney scars. It is important to tell your doctor if you think your child has had previous UTIs or febrile UTIs, so that the doctor can look for and treat any condition, such as VUR, that may increase the chance of serious infections. Since each febrile UTI could increase the risk of kidney scars, it’s important to see a doctor as soon as fever occurs.

What are the symptoms of VUR?

The main symptom of VUR is frequent and persistent febrile UTIs. There may also be difficulty with toilet training. Another symptom is an inability for the child to gain weight (failure to thrive). Children with VUR tend to be small for their age.2, 3

 

References

  1. Santen SA, Altieri MF (2001). Pediatric urinary tract infection. Emergency Medicine Clinics of North America, 19(3): 675–690.
  2. Atala A, Keating MA (2002). Vesicoureteral reflux and megaureter. In PC Walsh et al., eds., Campbell's Urology, 8th ed., vol. 3, pp. 2053–2116. Philadelphia: Saunders.
  3. Tanagho EA (2000). Vesicoureteral reflux. In EA Tanagho, JW McAninch, eds., Smith's General Urology, 15th ed., pp. 221–236. New York: Lange Medical Books/McGraw-Hill.