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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
PubMed

Insights

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.
Abstract

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