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Management of urinary tract infections.

Abstract

Urinary tract infection (UTI) is common in childhood. It may result in long-term complications due to renal scaring. Younger children are at higher risk of renal scarring. The diagnosis of UTI is based on urine culture. The bacterial count for diagnosis of UTI depends on the method of urine collection. Urinalysis is useful for making a presumptive diagnosis of UTI and allows initiation of empirical treatment in high-risk patients, after urine culture has been obtained. The treatment of UTI is guided by the severity of illness and age of the patient. Following a UTI, investigation should be performed to identify an underlying urinary tract anomaly. Recurrence of UTI occurs in 30-50% children. Important predisposing factors include VUR, urinary tract obstruction, voiding dysfunction and constipation. Vesicoureteric reflux (VUR) is seen in 30-50% children with UTI. The cornerstone of management of VUR is long-term antibiotic prophylaxis, which has been found to be as effective as surgical reimplantation.

Authors+Show Affiliations

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Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029. pankajhari@hotmail.com

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Source

Indian journal of pediatrics 70:3 2003 Mar pg 235-9

MeSH

Antibiotic Prophylaxis
Humans
Recurrence
Urinalysis
Urinary Tract Infections
Vesico-Ureteral Reflux

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12785296

Citation

Hari, Pankaj, et al. "Management of Urinary Tract Infections." Indian Journal of Pediatrics, vol. 70, no. 3, 2003, pp. 235-9.
Hari P, Mantan M, Bagga A. Management of urinary tract infections. Indian J Pediatr. 2003;70(3):235-9.
Hari, P., Mantan, M., & Bagga, A. (2003). Management of urinary tract infections. Indian Journal of Pediatrics, 70(3), pp. 235-9.
Hari P, Mantan M, Bagga A. Management of Urinary Tract Infections. Indian J Pediatr. 2003;70(3):235-9. PubMed PMID: 12785296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of urinary tract infections. AU - Hari,Pankaj, AU - Mantan,Mukta, AU - Bagga,Arvind, PY - 2003/6/6/pubmed PY - 2003/7/2/medline PY - 2003/6/6/entrez SP - 235 EP - 9 JF - Indian journal of pediatrics JO - Indian J Pediatr VL - 70 IS - 3 N2 - Urinary tract infection (UTI) is common in childhood. It may result in long-term complications due to renal scaring. Younger children are at higher risk of renal scarring. The diagnosis of UTI is based on urine culture. The bacterial count for diagnosis of UTI depends on the method of urine collection. Urinalysis is useful for making a presumptive diagnosis of UTI and allows initiation of empirical treatment in high-risk patients, after urine culture has been obtained. The treatment of UTI is guided by the severity of illness and age of the patient. Following a UTI, investigation should be performed to identify an underlying urinary tract anomaly. Recurrence of UTI occurs in 30-50% children. Important predisposing factors include VUR, urinary tract obstruction, voiding dysfunction and constipation. Vesicoureteric reflux (VUR) is seen in 30-50% children with UTI. The cornerstone of management of VUR is long-term antibiotic prophylaxis, which has been found to be as effective as surgical reimplantation. SN - 0019-5456 UR - https://www.unboundmedicine.com/medline/citation/12785296/full_citation L2 - https://medlineplus.gov/urinarytractinfections.html DB - PRIME DP - Unbound Medicine ER -