A The Urinary Bladder Is Filled With Echogenic Urine And There Is
![a The Urinary Bladder Is Filled With Echogenic Urine And There Is a The Urinary Bladder Is Filled With Echogenic Urine And There Is](https://www.researchgate.net/profile/Edouard-Maccolini/publication/262846135/figure/download/fig1/AS:601612271759403@1520446951942/A-The-urinary-bladder-is-filled-with-echogenic-urine-and-there-is-partially-mineralized.png)
A The Urinary Bladder Is Filled With Echogenic Urine And There Is These results support our hypothesis that there is an association between bladder debris and positive urine culture. previous authors have commented on the lack of sensitivity and specificity of echogenic debris in the renal collecting system for the diagnosis of pyonephrosis . just as sonographic echoes can be seen in uninfected hydronephrosis. The etiology is broad and may include bacterial urinary tract infection, fungal infection, blood particles and clot, intravesical drug precipitants, mucus associated with prior bladder augmentation, a stagnant collection of urine (such as within a diverticulum or neurogenic bladder), malignancy, intravesical urachal cysts, sloughed renal papillary necrosis, or normal (physiologic) transient.
![a The Urinary Bladder Is Filled With Echogenic Urine And There Is a The Urinary Bladder Is Filled With Echogenic Urine And There Is](https://www.researchgate.net/profile/Edouard-Maccolini/publication/262846135/figure/fig1/AS:601612271759403@1520446951942/A-The-urinary-bladder-is-filled-with-echogenic-urine-and-there-is-partially-mineralized_Q640.jpg)
A The Urinary Bladder Is Filled With Echogenic Urine And There Is A the urinary bladder is filled with echogenic urine and there is partially mineralized debris in the dependant portion. b the proximal urethra (u) between the urinary bladder (b) and the urethral. The sensitivity and specificity for bladder debris in detecting positive urine cultures was 52% and 86%, respectively. forty seven percent of those with bladder debris had positive cultures, compared with 12% of those without debris (p < 0.01). the relative risk of positive urine culture if debris is present is 3.90 (95% ci 2.73 5.55). Methods: we tested our hypothesis with a retrospective review performed on children age 0 to 17 years who had a vcug with a catheterized urinalysis or urine culture performed on the same day, and who also had a renal and bladder ultrasound up to 1 week prior, the day of, or up to 2 days after their urine studies. positive uti was defined as a single bacterial strain ≥50,000 cfu ml. The sensitivity and specificity for bladder debris in detecting a positive urine culture was 52% and 86%, respectively. among those with bladder debris, 47% had positive urine cultures. among those without bladder debris, only 12% had positive urine cultures (p < 0.001) (table 2). the relative risk of having a positive urine culture.
![Correlating The Sonographic Finding Of echogenic Debris In The bladder Correlating The Sonographic Finding Of echogenic Debris In The bladder](https://onlinelibrary.wiley.com/cms/asset/12446580-0ce4-4afe-9242-75b31cc2e763/jum20163571533-fig-0002-m.jpg)
Correlating The Sonographic Finding Of Echogenic Debris In The Bladder Methods: we tested our hypothesis with a retrospective review performed on children age 0 to 17 years who had a vcug with a catheterized urinalysis or urine culture performed on the same day, and who also had a renal and bladder ultrasound up to 1 week prior, the day of, or up to 2 days after their urine studies. positive uti was defined as a single bacterial strain ≥50,000 cfu ml. The sensitivity and specificity for bladder debris in detecting a positive urine culture was 52% and 86%, respectively. among those with bladder debris, 47% had positive urine cultures. among those without bladder debris, only 12% had positive urine cultures (p < 0.001) (table 2). the relative risk of having a positive urine culture. The presence of bladder debris was associated with the presence of urobilinogen, nitrite, and white blood cells (p = < 0.0001, 0.0005, and 0.0004, respectively). bladder debris in the emergency department setting correlates with urinalysis laboratory values suggesting a urinary tract infection. We conducted a retrospective analysis of urinalysis results in age matched patients with and without bladder debris detected by transabdominal sonography. patients were recruited from a radiology database search for bladder sonograms either with words suggesting echogenic debris or by a clinical history suggesting an infectious course.
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