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Practice Guideline
. 2022 Oct;120(5):S69-S87.
doi: 10.5546/aap.2022.S69. Epub 2022 Aug 23.

[Clinical practice guideline for the diagnosis and management of urinary tract infections: 2022 update]

[Article in Spanish]
Flavia Ramírez  1   2 , Andrea Exeni  1   3 , Laura Alconcher  1   4 , Paula Coccia  1   5 , Laura García Chervo  1   6 , Ángela Suarez  1   7 , Sandra Martin  1   8 , Alejandra Caminiti  1   9 , Adriana Santiago  1   10 ; Colaboradores
Collaborators, Affiliations
Free article
Practice Guideline

[Clinical practice guideline for the diagnosis and management of urinary tract infections: 2022 update]

[Article in Spanish]
Flavia Ramírez et al. Arch Argent Pediatr. 2022 Oct.
Free article

Abstract
in English, Spanish

In 2015, the "New recommendations regarding the current controversies in urinary infection" were published in the Archivos Argentinos de Pediatría. Given the fact that in these past years, new evidence has emerged regarding the diagnosis and treatment of urinary infection, the Pediatric Nephrology Committee of Sociedad Argentina de Pediatría has decided to update these recommendations. The main goal is to provide the pediatrician with the necessary tools to make a correct diagnosis, define the most appropriate treatment, select the patients who will benefit from antibiotic prophylaxis, and decide which imaging studies will be necessary, avoiding costly and invasive interventions. These guidelines also include the management of children with urinary tract infections associated with special situations such as: bladder bowel dysfunction, the newborn, children with neurogenic bladder, kidney transplant patients and fungal urinary tract infections.

En 2015 se publicaron en Archivos Argentinos de Pediatría las “Nuevas recomendaciones frente a las actuales controversias en infección urinaria”. Dado que en estos años surgieron evidencias con respecto al diagnóstico, la forma de estudio y el tratamiento de la infección urinaria, el Comité de Nefrología Pediátrica de la Sociedad Argentina de Pediatría decidió actualizar dichas recomendaciones. El objetivo principal es brindar al pediatra las herramientas para realizar un correcto diagnóstico, definir el tratamiento más adecuado, seleccionar a los pacientes que se beneficiarán con la profilaxis antibiótica y decidir cuáles serán los estudios de imágenes necesarios, para evitar intervenciones costosas e invasivas. En estas guías se incluyen, además, los lineamientos para el manejo de niños con infecciones urinarias asociadas a situaciones especiales como la disfunción vesicointestinal, el recién nacido, los portadores de vejiga neurogénica, los receptores de trasplante renal y las infecciones urinarias micóticas.

Keywords: clinical guidelines; diagnosis; pediatrics; treatment; urinary tract infections.

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Conflict of interest statement

None.

References

    1. Comité de Nefrología. Nuevas recomendaciones frente a las actuales controversias en infección urinaria. Arch Argent Pediatr. 2015; 113(6):579-81.
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    1. Shaikh N, Osio VA, Wessel CB, Jeong JH. Prevalence of asymptomatic bacteriuria in children: a meta-analysis. J Pediatr. 2020; 217:110-7.e4.
    1. Wettergren B, Jodal U. Spontaneous clearance of asymptomatic bacteriuria in infants. Acta Paediatr Scand. 1990; 79(3):300-4.
    1. Alarcón Alacio MT, Justa Roldán ML. Bacteriuria asintomática. Protoc Diagn Ter Pediatr. 2014; 1:109-17.

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