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학습 자료 둘러보기 →In a child with known or suspected vesicoureteral reflux (VUR), the most critical assessment finding is the triad of fever, dysuria, and abdominal pain. This combination signals an acute febrile urinary tract infection (fUTI) that has likely ascended to the kidneys, causing acute pyelonephritis.
The presence of a temperature of 101.2°F (38.4°C) or higher is the hallmark of parenchymal involvement. The systemic inflammatory response, not just the bacterial presence, drives permanent renal scarring. Immediate reporting facilitates prompt urine culture and initiation of empiric intravenous antibiotics.
Do not dismiss fever as a minor symptom. In VUR patients, any febrile episode requires a high index of suspicion for pyelonephritis. Delaying treatment significantly increases the risk of irreversible kidney damage and long-term sequelae such as hypertension.
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