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Table 2 Summary of the results of imaging studies

From: Further investigation of confirmed urinary tract infection (UTI) in children under five years: a systematic review

Test

Number studies

Range LR+

Pooled LR+ (95% CI)

Range LR-

Pooled LR- (95% CI)

Localisation of infection

Ultrasound

20

1.6 to 55.0

3.5 (2.5, 4.8)

0.10 to 0.91

0.57 (0.47, 0.68)

Clinical features

5

1.1 to 26.6

-

0.09 to 0.89

-

Infection markers

10

1.0 to 8.8

-

0.09 to 1.00

-

Renal function markers

4

0.7 to 36.7

-

0.02 to 1.51

-

Immunofluorescence detection of bacteria

1

1.8

-

0.55

 

Detection of reflux

Ultrasound: standard

12

1.0 to 8.7

1.9 (1.2, 2.9)

0.05 to 0.98

0.76 (0.63, 0.93)

Ultrasound: contrast enhanced

16

3.8 to 71.2

14.1 (9.5, 20.8)

0.04 to 0.51

0.20 (0.13, 0.29)

Indirect radionuclide cystography

3

11.2 and 25.0

-

0.41 and 0.68

-

Prediction of renal scarring

Ultrasound

2

1.3 to 3.0

-

0.60 to 0.86

-

Micturation cystourethrography

2

2.6 and 2.7

-

0.71 and 0.64

-

Temperature

1

1.1

-

0.44

-

CRP

1

1.1

-

0.44

-

Intravenous pyelography

1

12.9

-

0.88

-

Acute renal scintigraphy

1

3.1

-

0.54

-

Detection of renal scarring

Ultrasound

7

1.3 to 35.9

-

0.14 to 0.99

 

Intravenous pyelography

4

10 to 171.3

-

0.15 to 0.80

-

Indirect radionuclide cystography

2

2.1 to 12.6

-

0.15 to 0.75

-