Current Urology Reports

, Volume 11, Issue 2, pp 98–108

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

  • Paul A. Merguerian
  • Einar F. Sverrisson
  • Daniel B. Herz
  • Leslie T. McQuiston
Article

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.

Keywords

Urinary tract infection Voiding cystourethrogram DMSA Evidence based 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Paul A. Merguerian
    • 1
  • Einar F. Sverrisson
    • 1
  • Daniel B. Herz
    • 1
  • Leslie T. McQuiston
    • 1
  1. 1.Dartmouth-Hitchcock Medical CenterLebanonUSA

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