Urinary Tract Infections in Children

被引:3
|
作者
Marsh, Melanie C. [1 ]
Junquera, Guillermo Yepes [2 ,4 ]
Stonebrook, Emily [2 ,5 ]
Spencer, John David [2 ,5 ]
Watson, Joshua R. [3 ,4 ]
机构
[1] Advocate Aurora Atrium Hlth Syst, Div Hosp Med, Dept Pediat, Chicago, IL 60617 USA
[2] Nationwide Childrens Hosp, Kidney & Urinary Tract Ctr, Abigail Wexner Res Inst, Columbus, OH USA
[3] Nationwide Childrens Hosp, Ctr Clin Excellence, Columbus, OH USA
[4] Ohio State Univ, Coll Med, Div Infect Dis, Columbus, OH USA
[5] Ohio State Univ, Div Nephrol & Hypertens, Dept Pediat, Coll Med, Columbus, OH USA
关键词
ANTIBIOTIC-RESISTANCE PATTERNS; UROPATHOGENIC ESCHERICHIA-COLI; CLINICAL-PRACTICE GUIDELINE; EARLY DIAGNOSTIC SIGN; PROBIOTICS PROPHYLAXIS; FEBRILE INFANTS; YOUNG-CHILDREN; 1ST YEAR; MANAGEMENT; URINALYSIS;
D O I
10.1542/pir.2023-006017
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Despite the American Academy of Pediatrics guidelines for the evaluation, treatment, and management of urinary tract infections (UTIs), UTI diagnosis and management remains challenging for clinicians. Challenges with acute UTI management stem from vague presenting signs and symptoms, diagnostic uncertainty, limitations in laboratory testing, and selecting appropriate antibiotic therapy in an era with increasing rates of antibiotic-resistant uropathogens. Recurrent UTI management remains difficult due to an incomplete understanding of the factors contributing to UTI, when to assess a child with repeated infections for kidney and urinary tract anomalies, and limited prevention strategies. To help reduce these uncertainties, this review provides a comprehensive overview of UTI epidemiology, risk factors, diagnosis, treatment, and prevention strategies that may help pediatricians overcome the challenges associated with acute and recurrent UTI management.
引用
收藏
页码:260 / 270
页数:11
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