Approach to children with first, uncomplicated upper urinary tract infection

Czech version

Authors: L. Kovács; V. Jankó
Authors‘ workplace: Bratislava ; Detská klinika Lekárskej fakulty Univerzity Komenského a Detskej fakultnej nemocnice s poliklinikou
Published in: Čes-slov Pediat 2017; 72 (1): 8-10.
Category:

Overview

Upper urinary tract infection (UTI) is one of the most common bacterial infections in infants and children. Its early diagnosis is important as it may be a marker for urinary tract abnormalities. Most cases of uncomplicated upper UTI respond readily to antibiotic treatment without further sequelae. In recent years there is a developing consensus regarding the need for a less aggressive therapeutic approach with sequential (initially intravenous followed by oral) antibiotics, less invasive investigations, cystourethrography in particular, and without long-term antibacterial prophylaxis following an uncomplicated first febrile upper UTI in infants and children.

The proposed algorithmic approach is aimed to ensure rapid diagnosis and correct management of this particular form of UTI.

Key words:
urinary tract infection, pyelonephritis, diagnosis, treatment, algorithm

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