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Updated: May 1, 2026

Transurethral Induction of Mouse Urinary Tract Infection
Published on: August 6, 2010
[Treatment of urinary tract infections in neurogenic bladder]
1Service de néphrologie pédiatrique, hôpital d'enfants Armand-Trousseau, Paris, France.
Insights
Urinary tract infections (UTIs) are common in children with neurologic bladder. Treatment for pediatric UTIs depends on infection type: intravenous for acute pyelonephritis, oral for symptomatic lower UTIs, and no treatment for asymptomatic infections.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Urology
Context:
- Neurologic bladder is a common complication in children with neurological conditions.
- Urinary tract infections (UTIs) represent a significant health concern in this pediatric population.
- Effective management of pediatric UTIs is crucial to prevent long-term renal damage.
Purpose:
- To outline evidence-based treatment guidelines for urinary tract infections (UTIs) in children with neurologic bladder.
- To differentiate management strategies based on the clinical presentation and severity of UTIs.
- To emphasize the importance of tailored therapeutic approaches for pediatric patients with complex bladder dysfunction.
Summary:
- Acute pyelonephritis in children with neurologic bladder necessitates prompt intravenous antibiotic therapy.
- Symptomatic lower urinary tract infections (UTIs) are effectively managed with oral monotherapy.
- Asymptomatic bacteriuria in this cohort does not require antimicrobial treatment, avoiding unnecessary interventions.
Impact:
- Implementation of these guidelines can lead to improved clinical outcomes for children with neurologic bladder and UTIs.
- Standardized treatment protocols may reduce the incidence of recurrent infections and associated complications.
- This approach supports the judicious use of antibiotics, contributing to antimicrobial stewardship in pediatric care.
Abstract:
Urinary tract infections are frequent in children with neurologic bladder. Treatment must be adapted to the type of infection: acute pyelonephritis requires early intravenous treatment: symptomatic infection of the lower urinary tract is to be treated by oral monotherapy; asymptomatic infection needs no treatment.
Related Concept Videos
Urinary Tract Infection I: Introduction
Urinary Tract Infection II: Pathophysiology
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Urinary Tract Infection IV: Nursing Management
Urinary Tract Calculi III: Medical Management
Urinary Tract Calculi V: Nursing Management

