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[Urinary tract infections in children]

J Prandota1, K Szczesny

  • 1Oddziału Nefrologicznego Wojewódzkiego Specjalistycznego Szpitala Chorób Dzieciecych im. J. Korczaka we Wrocławiu.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|July 3, 1999
PubMed

Insights

This review covers advances in pediatric urinary tract infections (UTIs), detailing their causes, diagnosis, and treatment. It emphasizes optimal management strategies for improved patient outcomes.

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases
  • Urology

Context:

  • Urinary tract infections (UTIs) are common in children, requiring comprehensive understanding for effective management.
  • Advances in diagnostic imaging and laboratory techniques have improved UTI evaluation.
  • Host and bacterial factors play a significant role in UTI pathogenesis.

Purpose:

  • To present recent advances in the definition, pathogenesis, diagnosis, and treatment of pediatric UTIs.
  • To discuss the utility and reliability of various diagnostic methods, including urine microscopy and imaging studies.
  • To outline current treatment approaches for acute and chronic UTIs, including asymptomatic bacteriuria.

Summary:

  • The review discusses UTI mechanisms, predisposing factors, and diagnostic challenges, including leukocyte esterase tests and imaging modalities like ultrasonography, IVU, MCU, and DMSA scans.
  • It details clinical presentations and treatment strategies for acute and chronic UTIs, considering patient age and antibiotic choices.
  • Management of asymptomatic bacteriuria, drug side effects, and prophylactic measures are also reported.

Impact:

  • Provides a comprehensive overview of pediatric UTIs for clinicians and researchers.
  • Highlights the importance of accurate diagnosis and age-appropriate treatment for preventing renal damage.
  • Informs clinical practice regarding the management of asymptomatic bacteriuria and antibiotic prophylaxis.

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