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Advances in management of urinary tract infections

  • Symposium on Advances in Therapy
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Abstract

Urinary Tract Infections (UTI) are a common bacterial infection in children. The diagnosis of UTI is very often missed in young children due to minimal and non-specific symptoms. The developing renal cortex in young children is vulnerable to renal scarring resulting in hypertension and chronic renal failure. A clinically suspected case of UTI should be defined and documented with urine culture report. After the diagnosis of UTI, its category should be defined. It will guide for proper radioimaging evaluation, choice of antimicrobial agent, duration of treatment, need of chemoprophylaxis etc. Even a single confirmed UTI should be taken seriously. Rational use of modern radioimaging for proper evaluation is essential. UTI in neonates, nosocomial UTI and UTI due to ESBL producing organisms are special situations, to be identified and managed with advanced therapy promptly and appropriately.

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References

  1. Hellerstein S. Urinary tract infections. Pediatr Clin North Am 1995; 42: 1433–1457.

    PubMed  CAS  Google Scholar 

  2. Indian Pediatric Nephrology Group: Indian Academy of Pediatrics, Consensus Statement on management of urinary tract infection. Indian Pediatr 2001; 38: 1106–1115.

    Google Scholar 

  3. Vijaykumar M, Prahlad N, Urinary tract infection in children. In Nammalwar BR, Vijaykumar M, eds. Principles and Practice of Pediatr Nephrol. New Delhi; Jaypee Brothers, 2004; 348–356.

    Google Scholar 

  4. Srivastva RN, Bagga A. Urinary tract infection. In Srivastava RN, Bagga A, eds. Pediatr Nephrology. 4th ed. New Delhi; Jaypee Brothers, 2002; 235–264.

    Google Scholar 

  5. Udani S. Antimicrobial therapy in nosocomial infections In Shah NK, Singhal T, eds. IAP subspeciality series on Rational Antimicrobial Practices in Pediatrics (Under IAP Action Plan 2006) 1st edn. 2006; 216–220.

  6. Mehta KP, Ali U. Antimicrobial therapy in urinary tract infections. In Ghosh T, Yewale V, Parthasarathy A, Shah NK eds. IAP subspeciality series on Pediatric Infections Diseases (Under IAP Action Plan 2006) 1st ed. 2006; 178–183.

  7. Singh M. Urinary Tract Infection. In Care of the Newborn, 6th ed. New Delhi; Sagar Publications, 2004; 309–310.

    Google Scholar 

  8. Bagga A. Urinary Tract Infections. In Ghosh T, Yewale V, Parthasarathy A, Shah NK, ed. IAP subspeciality series on Pediatric Infections Diseases (Under IAP Action Plan 2006) 1st ed. 2006; 138–145.

  9. Bloomfield P, Hodson EM, Criag JC. Antibiotics for acute pyelonephritis in children (Cochrane Review). In The Renal Health Library, Oxford, Update Software Ltd. 2005.

    Google Scholar 

  10. Contopoulos-lognnidis DG, Giotis ND, Balias DV, Loannidis JP. Extended. internal aminoglycosides administration for children: a meta-analysis. Pediatrics 2004; 114-111-118.

    Google Scholar 

  11. Carapetis JR, Jaquiery AL, Buttery JP et al. Randomized, controlled trial comparing once daily and three times daily gentamicin in children with urinary tract infections. Pediatr Infect Dis J 2001; 20: 240–246.

    Article  PubMed  CAS  Google Scholar 

  12. American Academy of Pediatrics, Committee on Quality Improvement, Subcommittee on urinary tract infections. Practice parameters. The diagnosis, treatment and evaluation of the initial urinary tract infections in febrile infants and young children. Pediatrics 1999; 103: 843–852.

    Google Scholar 

  13. Marlid S, Hansson S, Jodal U et al. Protective effect of breast feeding against urinary tract infection. Acta Pediatr 2004; 93: 164–168.

    Article  Google Scholar 

  14. Wiswell TE, Hachey WE. Urinary tract infections and the uncircumcised state: an update. Clin Pediatr 1993; 32: 130–134.

    Article  CAS  Google Scholar 

  15. Bollgren I. Antibacterial prophylaxis in children with urinary tract infections. Acta Pediatr 1999; 431 (Suppl): 48–52.

    Article  Google Scholar 

  16. Hansson S, Jodal U. Urinary tract infection. In Avner ED, Harmon WE, Niaudet P, ed. Pediatr Nephrol 5th ed. Philadelphia; Lippincott Williams and Wilkins, 2004; 1007–1025.

    Google Scholar 

  17. Chaudhary U, Aggrawal R, ESBL-An emerging threat to clinical therapeutics. Indian J Med Microbiol 2004; 22: 75–80.

    PubMed  CAS  Google Scholar 

  18. Nathisuwan S, Burgess DS, Lewis II JS. ESBLs: Epidemiology, detection and treatment. Pharmacotherapy 2001; 21: 920–928.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Sheth V. S. General Hospital, Smt. N.H.L. Municipal Medical College, Ahmedabad, India

    Rajal B. Prajapati

  2. Sheth L, G. General Hospital, Aakanksha Children Hospital and Neonatal Nursery, Ahmedabad, India

    Baldev S. Prajapati & Panna S. Patel

Authors
  1. Baldev S. Prajapati
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  2. Rajal B. Prajapati
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  3. Panna S. Patel
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Correspondence to Baldev S. Prajapati.

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Prajapati, B.S., Prajapati, R.B. & Patel, P.S. Advances in management of urinary tract infections. Indian J Pediatr 75, 809–814 (2008). https://doi.org/10.1007/s12098-008-0152-0

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  • DOI: https://doi.org/10.1007/s12098-008-0152-0

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