Urinary tract infection in children: A narrative review of clinical practice guidelines.

Autor:	Alsaywid BS; Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.; Department of Education and Research Skills Directory, Saudi National Institute of Health, Riyadh, Saudi Arabia., Alyami FA; Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.; Division of Urology, King Khalid University Hospital, Riyadh, Saudi Arabia.; Department of Surgery, Division of Urology, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alqarni N; Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Neel KF; Division of Urology, King Khalid University Hospital, Riyadh, Saudi Arabia.; Department of Surgery, Division of Urology, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Almaddah TO; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia., Abdulhaq NM; Department of Pediatric, King Abdulaziz University, Rabigh, Saudi Arabia., Alajmani LB; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia., Hindi MO; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia., Alshayie MA; Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Alsufyani H; Department of Surgery, Division of Urology, King Faisal Medical Complex, Taif, Saudi Arabia., Alajlan SA; Department of Education and Research Skills Directory, Saudi National Institute of Health, Riyadh, Saudi Arabia., Albulushi BI; Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Labani SK; Research Unit, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Urology annals [Urol Ann] 2023 Apr-Jun; Vol. 15 (2), pp. 113-132. Date of Electronic Publication: 2023 Mar 17.
DOI:	10.4103/ua.ua_147_22
Abstrakt:	Background: Urinary tract infection (UTI) has been a major burden on the community and the health-care systems all over the globe. It is the most common cause of bacterial infection in the pediatric age group, with an annual incidence of 3%. The aim of this study is to review and summarize all available guidelines on the diagnosis and management of children with UTI. Materials and Methods: This is a narrative review of the management of children with a UTI. All biomedical databases were searched, and any guidelines published from 2000 to 2022 were retrieved, reviewed, and evaluated to be included in the summary statements. The sections of the articles were formulated according to the availability of information in the included guidelines. Results: UTI diagnoses are based on positive urine culture from a specimen of urine obtained through catheterization or suprapubic aspiration, and diagnoses cannot be established on the bases of urine collected from a bag. The criteria for diagnosing UTI are based on the presence of at least 50,000 colony-forming units per milliliter of a uropathogen. Upon confirmation of UTI, the clinician should instruct parents to seek rapid medical assessment (ideally within 48 h) of future febrile disease to ensure that frequent infections can be detected and treated immediately. The choice of therapy depends on several factors, including the age of the child, underlying medical problems, the severity of the disease, the ability to tolerate oral medications, and most importantly local patterns of uropathogens resistance. Initial antibiotic choice of treatment should be according to the sensitivity results or known pathogens patterns with comparable efficacy of oral and parenteral route, for 7 days to 14 days duration. Renal and bladder ultrasonography is the investigation of choice for febrile UTI, and voiding cystourethrography should not be performed routinely unless indicated. Conclusion: This review summarizes all the recommendations related to UTIs in the pediatric population. Due to the lack of appropriate data, further high-quality studies are required to improve the level and strength of recommendations in the future. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Urology Annals.)
Databáze:	MEDLINE
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