Diagnosis and management of urinary tract infections in children aged 2 months to 3 years in the Italian emergency units: the ItaUTI study

被引：0

作者：

Francesca Cenzato

Gregorio P. Milani

Angela Amigoni

Francesca Sperotto

Mario G. Bianchetti

Carlo Agostoni

Giovanni Montini

机构：

[1] Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,Pediatric Emergency Department

[2] Università Degli Studi Di Milano,Department of Clinical Sciences and Community Health

[3] University Hospital of Padua,Pediatric Intensive Care Unit, Department of Women’s and Children’s Health

[4] Università Della Svizzera Italiana,Family Medicine Institute, Faculty of Biomedical Sciences

[5] Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,Pediatric Nephrology, Dialysis and Transplant Unit

[6] Presidio Ospedaliero “San Salvatore” - Clinica Pediatrica Università dell’Aquila,Department of Paediatrics

[7] University of Chieti,undefined

[8] Presidio Ospedaliero “S. Spirito” Pescara - UOC Pediatria di Pescara,undefined

[9] Ospedale “Giuseppe Mazzini”,undefined

[10] Presidio Ospedaliero “Madonna delle Grazie”,undefined

[11] Ospedale San Carlo,undefined

[12] Ospedale Annunziata,undefined

[13] Ospedale Giovanni Paolo II,undefined

[14] Ospedale S. Giovanni di Dio,undefined

[15] Presidio Ospedaliero “G. Jazzolino”,undefined

[16] Azienda Ospedaliera San Pio,undefined

[17] Ospedale Sant’Anna e San Sebastiano,undefined

[18] Azienda Ospedaliera Pediatrica Santobono-Pausilipon,undefined

[19] Azienda Ospedaliera Universitaria S.Giovanni e Ruggi,undefined

[20] IRCCS-Policlinico universitario di Sant’Orsola,undefined

[21] Ospedale Maggiore Bologna,undefined

[22] Ospedale Santa Maria della Scaletta,undefined

[23] Ospedale Bufalini-Marconi,undefined

[24] Ospedale Sant’Anna,undefined

[25] Ospedale di Fidenza,undefined

[26] Ospedale dei bambini “Pietro Barilla” - Azienda Ospedaliero Universitaria di Parma,undefined

[27] Ospedale Santa Maria delle Croci,undefined

[28] Policlinico di Modena,undefined

[29] Ospedale Guglielmo da Saliceto,undefined

[30] Ospedale degli Infermi,undefined

[31] Arcispedale Santa Maria Nuova,undefined

[32] Ospedale San Polo,undefined

[33] Ospedale Santa Maria degli Angeli,undefined

[34] IRCCS Materno Infantile Burlo Garofolo,undefined

[35] Ospedale Santa Maria della Misericordia,undefined

[36] Presidio Ospedaliero di Cassino,undefined

[37] Ospedale Santa Maria Goretti,undefined

[38] Ospedale San Camillo de Lellis,undefined

[39] Policlinico Universitario Agostino Gemelli,undefined

[40] Ospedale Bambino Gesù Palidoro,undefined

[41] Ospedale Pediatrico Bambin Gesù,undefined

[42] Ospedale Belcolle,undefined

[43] IRCCS G. Gaslini,undefined

[44] Ospedale Civile di Imperia,undefined

[45] Ospedale San Paolo / Santa Corona Pietra Ligure,undefined

[46] Ospedale Papa Giovanni XXIII,undefined

[47] Ospedale dei bambini di Brescia - Spedali civili di Brescia,undefined

[48] UOC Pediatria ASST Lariana,undefined

[49] ASST Cremona,undefined

[50] Ospedale Manzoni di Lecco,undefined

来源：

European Journal of Pediatrics | 2022年 / 181卷

关键词：

Infants; Urine; Urinary tract; Infection; Guidelines; Survey; Catheter; Emergency department;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Urinary tract infections (UTIs) are among the most frequent bacterial diseases in infants and children. Physician adherence to recommendations is notoriously often poor, but no data are available on UTIs management in the emergency setting. In this multicenter national study, we investigated the policies regarding UTIs management in children aged 2 months to 3 years in Italian emergency units. Between April and June 2021, directors of the emergency units were invited to answer an online survey on the following items: diagnostic approach to children with fever without an apparent source, therapeutic approach to UTIs, the use of kidney and urinary tract ultrasound, and the criteria for hospitalization. A total of 121 (89%) out of 139 of invited units participated in the study. Overall, units manage children with a suspected or confirmed UTI according to available recommendations for most of the items. However, in almost 80% (n = 94) of units, a sterile perineal bag is used to collect urine for culture. When urine is collected by cathether, heterogeneity exists on the threshold of bacterial load considered for UTI diagnosis.

引用

页码：2663 / 2671

页数：8

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