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Urinary Tract Infection USA

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Guide to Pediatric Urology and Surgery in Clinical Practice

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Abstract

It is estimated that 7% of girls and 2% of boys under the age of 6 will be diagnosed with UTI. This chapter reviews the presenting symptoms and signs of urinary tract infection as well as the method of diagnosing urinary tract infections. Although E. coli is the most common pathogen, other common pathogens are noted. Prompt and appropriate treatment is important to minimize kidney damage since ~15% of children with UTI have renal scarring on follow-up renal scan. The percentage of children with renal scars increases as their number of recurrent UTIs increase. Therefore, identification and modification of a child’s risk factors for urinary tract infection is important in order to prevent recurrent infections. In addition to treatment, options for further evaluation of the child with a urinary tract infection are described.

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Suggested Reading

  • Cooper CS, Storm DW. Infection and inflammation of the pediatric genitourinary tract. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell-Walsh urology, vol. 4. 11th ed. Philadelphia: Saunders; 2016. p. 2926–48.

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  • Roberts KB, Wald ER. The diagnosis of UTI: colony count criteria revisited. Pediatrics. 2018;141:e20173239.

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  • Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management. Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics. 2011;128(3):595–610.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Urology, Yale School of Medicine, New Haven, CT, USA

    Angela M. Arlen

  2. Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

    Christopher S. Cooper

Authors
  1. Angela M. Arlen
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  2. Christopher S. Cooper
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Corresponding author

Correspondence to Christopher S. Cooper .

Editor information

Editors and Affiliations

  1. Sheffield Children’s NHS Foundation Trust, Sheffield, UK

    Prasad P. Godbole

  2. Pediatric Urology, The Children’s Hospital, Aurora, CO, USA

    Duncan T. Wilcox

  3. Pediatric Urology, M-299, Hospital for Sick Children, Toronto, ON, Canada

    Martin Koyle

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Arlen, A.M., Cooper, C.S. (2020). Urinary Tract Infection USA. In: Godbole, P., Wilcox, D., Koyle, M. (eds) Guide to Pediatric Urology and Surgery in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-24730-0_1

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  • DOI: https://doi.org/10.1007/978-3-030-24730-0_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24729-4

  • Online ISBN: 978-3-030-24730-0

  • eBook Packages: MedicineMedicine (R0)

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