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01-03-2010

Urinary Tract Infections in Children: Recommendations for Antibiotic Prophylaxis and Evaluation. An Evidence-Based Approach

Authors: Paul A. Merguerian, Einar F. Sverrisson, Daniel B. Herz, Leslie T. McQuiston

Published in: Current Urology Reports | Issue 2/2010

Abstract

Urinary tract infections (UTIs) are common in children, but the routine work-up and treatment recommendations are still controversial. Long-term complications, including renal scarring, hypertension, and renal failure, have been the main concern and the reason for use of antibiotic prophylaxis and invasive imaging techniques. In the past several years, numerous studies have been published comparing different imaging protocols and questioning the use of antibiotic prophylaxis. The latest guidelines from the United Kingdom, published in 2007, recommend more selective approach based on evidence. In this review, we critically appraise the literature published in the past 5 years. The risk of developing long-term complications after a UTI is extremely low, and the evidence suggests selective imaging to a select group of children at risk. Finding those at risk for long-term complications is yet to be determined.

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Title: Urinary Tract Infections in Children: Recommendations for Antibiotic Prophylaxis and Evaluation. An Evidence-Based Approach
Authors: Paul A. Merguerian
Einar F. Sverrisson
Daniel B. Herz
Leslie T. McQuiston
Publication date: 01-03-2010
Publisher: Current Science Inc.
Published in: Current Urology Reports / Issue 2/2010
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-010-0095-7

At a glance: The STEP trials

Springer Medicine

Urinary Tract Infections in Children: Recommendations for Antibiotic Prophylaxis and Evaluation. An Evidence-Based Approach

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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