In an asymptomatic child with a sibling who has vesicoureteral reflux, should you do a workup for reflux?
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Detecting reflux before the first urinary tract infection in asymptomatic siblings of children with vesicoureteral reflux has not been shown to decrease infectious renal scarring. (SOR B, based on a systematic review of diagnostic cohort studies.)
Evidence Based Practice 12(10): 08.