Clinical options for the treatment of urinary tract infections in children
- PMID: 25210486
- PMCID: PMC4149380
- DOI: 10.4137/CMPed.S8100
Clinical options for the treatment of urinary tract infections in children
Abstract
Urinary Tract Infections (UTI) are a common cause of childhood febrile illness with 7% of girls and 2% of boys having a symptomatic culture positive UTI by the age of six years. Although there are conflicting views on the long term sequelae of UTI, as well as the place of prophylaxis, the universal aims of treatment of childhood UTI remain those of symptom alleviation, prevention of systemic infection and short and longer term complications. There is good evidence of historical and emerging resistance patterns, therefore rationalisation of prescription patterns by knowledge of sensitivities coupled with re-examination of empirical antibiotic choices is clearly important. Local formularies should reflect geographical resistance patterns along with best evidence on the duration and choice of antibiotic in order to maximize therapeutic effect, while minimizing the development of resistant strains.
Keywords: antimicrobial; pediatrics; therapeutics; urinary tract infection.
References
-
- National Institute for Clinical Excellence Urinary tract infection in children: diagnosis, treatment and long-term management. 2007. [Accessed December 25, 2012]. Available at http://www.nice.org.uk/nicemedia/live/11819/36032/36032.pdf.
-
- Alper B, Curry S. Urinary tract infection in children. Am Fam Physician. 2005;72(12):2483–8. - PubMed
-
- Shaw K, Gorelick M, McGowan K, Yakscoe N, Schwartz J. Prevalence of urinary tract infection in febrile young children in the emergency department. Pediatrics. 1998;102(2):e16. - PubMed
-
- Bachur R, Harper M. Reliability of the urinalysis for predicting urinary tract infections in young febrile children. Arch Pediatr Adolesc Med. 2001;155(1):60–5. - PubMed
-
- Klein J. Bacterial infections of the urinary tract. In: Remington J, editor. Infectious Diseases of the Fetus and Newborn Infant. 4th ed. Philadelphia: Saunders; 1995. pp. 925–34.
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources