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[Urinary tract infection in childhood--a review. 1: Diagnosis]
1Universitäts-Kinderklinik, Jussuf Ibrahim, Bereiches Medizin der Friedrich-Schiller-Universität Jena.
Insights
Urinary tract infections (UTI) are common in children and can lead to kidney scarring. Early diagnosis and imaging are crucial for preventing renal damage in pediatric patients.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Diagnostic Imaging
Context:
- Urinary tract infections (UTI) are prevalent in childhood, with approximately 10% of cases resulting in renal scars.
- Risk factors for pyelonephritic scarring include congenital anomalies, vesicoureteric reflux, young age, and delayed treatment.
Purpose:
- To outline recommended diagnostic procedures for identifying UTI in children.
- To emphasize the importance of early and accurate diagnosis for preventing kidney damage.
Summary:
- The paper details diagnostic strategies for pediatric UTI, focusing on identifying infection location and risk factors through imaging.
- Recommendations are provided for the appropriate diagnostic workup in children presenting with suspected UTI.
Impact:
- Facilitates timely and effective management of pediatric UTI to prevent long-term renal sequelae.
- Guides healthcare professionals in the diagnostic approach, ensuring prompt identification and treatment of at-risk children.
Abstract:
Urinary tract infections (UTI) are common in childhood. About 10% of children with UTI develop renal scars. Main risk factors for development of pyelonephritic scarring are obstructive malformations, vesicoureteric reflux, young age and delayed or insufficient therapy. Thus, in infants with fever one should always think of pyelonephritis. The most important objective in the management of children with UTI is the prevention of kidney damage. An early and correct diagnosis is necessary. The localisation of UTI and search for risk factors by imaging diagnostic techniques is the basis for specific therapy and follow-up. The present paper gives recommendations for the diagnostic procedure in children with UTI.