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[Urinary tract infection: a search for evidence]
Vera H Koch1, Sandra M C Zuccolotto
1Instituto da Criança, Hospital das Clínicas, Universidade de São Paulo (USP), São Paulo, SP, Brazil. vkoch@terra.com.br
Jornal De Pediatria
|September 25, 2003
Summary
Diagnosis and treatment guidelines for pediatric urinary tract infections (UTIs) are largely opinion-based. More rigorous, double-blind trials are needed to improve the quality of care for children with UTIs.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
Context:
- Urinary tract infections (UTIs) are common in children.
- Current diagnostic and treatment protocols rely heavily on expert consensus.
- Evidence-based guidelines are crucial for optimal management.
Purpose:
- To review the evidence for diagnosing and treating urinary tract infections in children.
- To identify gaps in current knowledge and practice.
Summary:
- A systematic literature search of Medline and Cochrane databases (1996-2002) identified relevant studies on pediatric UTIs.
- Studies were selected based on methodology, relevance, and clinical applicability, including American Academy of Pediatrics guidelines.
- Findings indicate that consensus statements dominate the field, highlighting a need for higher-quality evidence.
Impact:
- Highlights the need for high-quality, randomized, multicenter, double-blind controlled trials.
- Emphasizes the necessity of evidence-based medicine for improving pediatric UTI diagnosis and management.
- Aims to guide future research and clinical practice in pediatric urology and infectious diseases.