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http://dx.doi.org/10.3345/kjp.2009.52.9.976

Guidelines for childhood urinary tract infection  

Lee, Seung Joo (Department of Pediatrics, Ewha Womans University School of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.9, 2009 , pp. 976-983 More about this Journal
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.
Keywords
Childhood urinary tract infection; Guideline;
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1 Craig JC, Wheeler DM, Irwig L, Howman-Giles RB. How accurate is dimercaptosuccinic acid scintigraphy for the diagnosis of acute pyelonephritis? A meta-analysis of experimental studies. J Nuclear Med 2000;41:986-93   ScienceOn
2 Gorelick MH, Shaw KN. Clinical decision rule to identify febrile young girls at risk for urinary tract infection. Arch Pediatr Adolesc Med 2000;154:386-90   DOI   PUBMED
3 Keren R, Chan E. A meta-analysis of randomized controlled trials comparing short- and long-course therapy for urinary tract infection in young children Pediatrics.2002;109:e70   DOI   PUBMED   ScienceOn
4 Shaw KN, Gorelick M, McGowen KL, Myakscoe NM, Schwartz JS. Prevalence of urinary tract infection in febrile young children in the emergency department. Pediatrics 1998; 102:1-5   DOI   PUBMED   ScienceOn
5 Lee SJ, Shim YH, Cho SJ, Lee JW. Probiotic prophylaxis in children with persistent primary vesicoureteral reflux. Pediatr Nephrol 2007;22:1315-20   DOI   ScienceOn
6 Levtchenko E, Lahy C, Levy J, Ham H, Piepsz A. Treatment of children with acute pyelonephritis: A prospective randomized study. Pediatr Nephrol 2001;16:878-82   DOI   ScienceOn
7 Wiswell TE, Roscelli JD. Corroborative evidence for the decreased incidence of urinary tract infection in circumcised male infants. Pediatrics 1986;78:96-9   PUBMED   ScienceOn
8 Avner ED, HarmonWE, Niadaut P. Pediatric Nephrology, 5th ed., Lippincott Williams & Wilkins, 2004:1007-25
9 Marild S, Hansson S, Jodal U, Oden A, Svedberg K. Protective effect of breast feeding against urinary tract infection. Acta Pediatr 2004;93:164-8   DOI   ScienceOn
10 Miller T, Philips S Pyelonephritis: The relationship between infection, renal scarring and antimicrobial therapy. Kidney Int 1981;19:654-62   DOI   ScienceOn
11 Costers M, Damme-Lombaerts RV, Levtchenko E, Bogaert G. Antibiotic prophylaxis for children with primary vesicoureteral reflux: Where do we stand today? Advance in Urol;doi: 10.1155/2008/217805   DOI
12 Aggarwal VK, Verrier JK, Asscher AW, Evans C, William LA. Covert bacteriuria: Longterm follow-up. Arch Dis Child 1991;66:1284-6   DOI   ScienceOn
13 Linshaw MA. Controversies in childhood urinary tract infections. World J Urol 1999;17:383-95   DOI   PUBMED   ScienceOn
14 Hoberman A, Charron M, Hickey RW, Baskin M, Kearney DH, Wald ER. Imaging studies after a first febrile urinary tract infection in young children. New Engl J Med 2003; 348:195-202   DOI   ScienceOn
15 Jacobson B, Esbjorner E, Hansson S, Swedish Pediatric Nephrology Association. Minimum incidence and diagnostic rate of first urinary tract infection. Pediatrics 1999;104:222-6   DOI   ScienceOn
16 Lee JW, Cho SJ, Park EA, Lee SJ. Topical hydrocortisone and physiotherapy for nonretractile physiologic phimosis in infants. Pediatr Nephrol 2006;21:1127-30   DOI   ScienceOn
17 American Academy of Pediatrics. Practice parameter: The diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics 1999;103:843-52   PUBMED   ScienceOn
18 Hiraoka M, Hashimoto G, Tsuchida S, Tsukahara H, Ohshima Y, Mayumi M, Early treatment of urinary tract infection prevents renal damage on cortical scintigraphy. Pediatr Nephrol 2003;18:115-8   DOI   ScienceOn
19 Jodal U. Suprapubic aspiration of urine in the diagnosis of urinary tract infection in infants. Acta Pediatr 2002;91:497- 8   DOI   ScienceOn
20 Natioanl Institute for Health and Clinical Exellence, "Urinary tract infection in children," NICE, London, UK, 2007, http: //guidance.nice.org.uk/CG54
21 Jodal U, Lindberg U. Guidelines for management of children with urinary tract infection and vesicoureteral reflux. Recommendation from a Swedish state-of-the-art conference. Acta Pediatr Suppl 1999;431:87-9
22 Mori R, Lakhanpaul M, Verrier-Jones, K. 'Diagnosis and management of urinary tract infection in children: summary of NICE guidance, Br Med J 2007;335:395-7   DOI   ScienceOn
23 Williams GJ, Lee A, Craig JC, Antibiotics for the prevention of urinary tract infection in children: A systemic review of randomized controlled trials. J Pediatr 2001;138:868-74   DOI   ScienceOn
24 Elder JS, Peters CA, Arant Jr BS. Pediatric vesicoureteral reflux guidelines panel summary report on the management of primary vesicoureteral reflux in children. J Urol 1997;157: 1846-51   DOI   PUBMED   ScienceOn
25 Kontiokari T, Nuutinen M, Uhari M. Dietary factors affecting usceptibility to urinary tract infection. Pediatr Nephrol 2004; 19:378-83   DOI   ScienceOn
26 Thompson RH, Chen JJ, Pugach J, Naseer S. Cessation of prophylactic antibiotics for managing persistent vesicoureteral reflux. J Urol 2001;166:1465-9   DOI   ScienceOn
27 Saux NL, Pham B, Moher D. Evaluating the benefits of antimicrobial prophylaxis to prevent urinary tract infections in children: a systemic review. Can Med Ass J 2000;163: 523-9   ScienceOn
28 Behrman RE, Kliegman RM, Jenson HB. Nelson Textbook of Pediatrics, 18th ed. WB Saunders co., Piladelphia 2007; 2223-8
29 William AA. Changing concepts in the management of pediatric urinary tract infection. Pediatr Ann 1999;28:631-4   DOI   PUBMED
30 Michael M, Hodson EM, Craig JC, Moyer VA. Short compared with standard duration of antibiotic treatment for urinary tract infection: A systematic review of randomized controlled trials. Arch Dis Child 2002;87:118-23   DOI   ScienceOn
31 Liaw LCT. Home collection of urine for culture from infants by three methods: Survey of parents and bacterial contamination rates. Br Med J 2000;320:1312-7   DOI   ScienceOn