Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Guidelines for childhood urinary tract infection

소아 요로감염의 임상 지침

  • Lee, Seung Joo (Department of Pediatrics, Ewha Womans University School of Medicine)
  • 이승주 (이화여자대학교 의학전문대학원 소아과학교실)
  • Received : 2009.09.02
  • Accepted : 2009.09.04
  • Published : 2009.09.15
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Abstract

Urinary tract infection (UTI), the most common bacterial disease in childhood, is frequently associated with urinary tract anomalies (15-50%) and can induce renal scarring, which is a cause of hypertension and chronic kidney disease. Despite the high risk of renal scarring in infancy, the diagnosis may be delayed due to its nonspecific presenting symptoms; moreover, over-diagnosis is frequent due to the contamination of urine samples. The delay in diagnosis and treatment may induce sepsis or renal scar, while over-diagnosis is responsible for unnecessary antibiotic treatment and costly urinary imaging studies. UTI guidelines have been ever-changing for the past three decades, but some controversial issues remain. This article is a revision of the previous KSPN (Korean Society of Pediatric Nephrology) guideline and addresses the recent controversies concerning childhood UTI.

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References

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