Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review.

Including the “both” category in the analysis and considering the variables as ordered (surgeons>both>physicians), the association with all three outcomes is highly significant (extended Cochran-Armitage test): recommending VCUG: P <0.0001, recommending continuous antibiotic prophylaxis: P <0.001, recommending surgery: P =0.003.

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In contrast, performance of a VCUG was deemed necessary in 19 studies (11 surgical [ 98 , 103 – 112 ], six medical [ 113 – 118 ], two combined [ 119 , 120 ]) with concern expressed that the abnormalities missed, in particular VUR of any grade, would place children at an indeterminate but possibly significant risk of morbidity.

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