Urinary tract infection in children: recurrent infections
- PMID: 26067232
- PMCID: PMC4463760
Urinary tract infection in children: recurrent infections
Abstract
Introduction: Up to 11% of girls and 7% of boys will have had a urinary tract infection (UTI) by the age of 16 years, and recurrence of infection is common. Vesicoureteric reflux (VUR) is identified in up to 40% of children being investigated for a first UTI, and is a risk factor for, but weak predictor of, renal parenchymal defects.
Methods and outcomes: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of prophylactic antibiotics to prevent recurrent urinary tract infection in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to December 2013 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review).
Results: We found three studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions: In this systematic review we present information relating to the effectiveness and safety of the following intervention: prophylactic antibiotics.
References
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- National Institute for Health and Care Excellence. Urinary tract infection in children: diagnosis, treatment and long-term management. August 2007. Available at http://www.nice.org.uk/CG54 (last accessed 6 February 2015).
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- Jakobsson B, Esbjörner E, Hansson S. Minimum incidence and diagnostic rate of first urinary tract infection. Pediatrics 1999;104:222–226. - PubMed
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