Highlights for Management of a Child with a Urinary Tract Infection

Urinary tract infections remain the most common bacterial infection in childhood. Escherichia coli is responsible for over 80% of Pediatric UTIs. Other common gram negative organisms include Kleibsiella, Proteus, Enterobacter and occasionally Pseudomonas. Signs and symptoms vary greatly by age of th...

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Main Author: Sabeen Habib
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/943653
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author Sabeen Habib
author_facet Sabeen Habib
author_sort Sabeen Habib
collection DOAJ
description Urinary tract infections remain the most common bacterial infection in childhood. Escherichia coli is responsible for over 80% of Pediatric UTIs. Other common gram negative organisms include Kleibsiella, Proteus, Enterobacter and occasionally Pseudomonas. Signs and symptoms vary greatly by age of the patient becoming more specific as the child grows older. Even in the absence of specific signs a UTI should be included in the differential diagnosis of high grade fever. In younger children, presence of upper respiratory infections, otitis media or gastroenteritis does not eliminate the possibility of a UTI. Culture of the urine remains the gold standard for diagnosing UTIs. All males and females with well documented UTIs should be imaged for the presence of urological anomalies associated with UTI. Depending on patient's clinical symptoms and tolerance, therapy can be oral or parenteral as they have both been found equally efficacious. Healthcare professionals should ensure that when a child or young person has been identified as having a suspected UTI, they and their parents are given information about the need for treatment, the importance of completing any course of treatment and advice about prevention and possible long-term management.
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spelling doaj-art-3ab62c020d504ca5bf5c872217cdab502025-08-20T02:07:48ZengWileyInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/943653943653Highlights for Management of a Child with a Urinary Tract InfectionSabeen Habib0Department of Pediatrics, LSUHealth Shreveport, Shreveport, LA 71130, USAUrinary tract infections remain the most common bacterial infection in childhood. Escherichia coli is responsible for over 80% of Pediatric UTIs. Other common gram negative organisms include Kleibsiella, Proteus, Enterobacter and occasionally Pseudomonas. Signs and symptoms vary greatly by age of the patient becoming more specific as the child grows older. Even in the absence of specific signs a UTI should be included in the differential diagnosis of high grade fever. In younger children, presence of upper respiratory infections, otitis media or gastroenteritis does not eliminate the possibility of a UTI. Culture of the urine remains the gold standard for diagnosing UTIs. All males and females with well documented UTIs should be imaged for the presence of urological anomalies associated with UTI. Depending on patient's clinical symptoms and tolerance, therapy can be oral or parenteral as they have both been found equally efficacious. Healthcare professionals should ensure that when a child or young person has been identified as having a suspected UTI, they and their parents are given information about the need for treatment, the importance of completing any course of treatment and advice about prevention and possible long-term management.http://dx.doi.org/10.1155/2012/943653
spellingShingle Sabeen Habib
Highlights for Management of a Child with a Urinary Tract Infection
International Journal of Pediatrics
title Highlights for Management of a Child with a Urinary Tract Infection
title_full Highlights for Management of a Child with a Urinary Tract Infection
title_fullStr Highlights for Management of a Child with a Urinary Tract Infection
title_full_unstemmed Highlights for Management of a Child with a Urinary Tract Infection
title_short Highlights for Management of a Child with a Urinary Tract Infection
title_sort highlights for management of a child with a urinary tract infection
url http://dx.doi.org/10.1155/2012/943653
work_keys_str_mv AT sabeenhabib highlightsformanagementofachildwithaurinarytractinfection