Diagnosis and treatment of urinary tract infections in children: what’s new?
https://doi.org/10.21518/2079-701X-2017-1-180-185
Abstract
Urinary tract infection (UTI) is one of the most frequent problems in children, especially early age. A practicing pediatrician, pediatric urologist, nephrologist is frequently faced with the problem of diagnosis and treatment of UTI. Clinical manifestations of UTI in children are diverse and depend on the age and sex of child, severity of the inflammatory process, presence and nature of comorbidity. The experts dealing with the problem of UTI in children in different countries initiated the establishment of clinical guidelines that can assist clinicians in the diagnosis and treatment of UTI in children. The paper presents national European recommendations for the treatment and diagnosis of UTI in pediatrics.
About the Authors
I. N. Zakharova
Russian Medical Academy of Postgraduate Continuous Professional Education of the Ministry of Health of Russia, Moscow
Russian Federation
MD, Prof.
Russian Federation
MD, Prof.
E. B. Machneva
Russian Medical Academy of Postgraduate Continuous Professional Education of the Ministry of Health of Russia, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
E. B. Memladze
Russian Medical Academy of Postgraduate Continuous Professional Education of the Ministry of Health of Russia, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
Y. I. Ivakhnenko
Russian Medical Academy of Postgraduate Continuous Professional Education of the Ministry of Health of Russia, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
References
1. Jodal U. The natural history of bacteriuria in childhood. Infect. Dis. Clin. North. Am, 1987 Dec, 1(4): 713–29.
2. Robinson JL, Finlay JC, Lang ME, Bortolussi R. Urinary tract infections in infants and children: Diagnosis and management. Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Community Paediatrics Committee. Paediatr. Child. Health., 2014 Jun, 19(6): 315-25.
3. Федеральные клинические рекомендации по оказанию медицинской помощи детям с инфекцией мочевыводящих путей. [Электронный ресурс] М.: Союз педиатров России, 2015. Режим доступа: http://www. pediatr-russia.ru/sites/default/files/file/kr_imvp.pdf.
4. Stein R, Dogan HS, Hoebeke P, Kočvara R, Nijman RJ, Radmayr C, Tekgül S. European Association of Urology; European Society for Pediatric Urology. Urinary tract infections in children: EAU/ESPU guidelines. Eur. Urol., 2015 Mar, 67(3): 546-58.
5. Захарова И.Н., Горяйнова А.Н., Мумладзе Э.Б., Кучерова В.В., Дмитриева Ю.А. Новые подходы к диагностике и лечению инфекции мочевой системы у детей. Педиатрия. Приложение к журналу Consilium Medicum, 2012, 1: 59-62,http://elibrary.ru/item.asp?id=20315360
6. Международная статистическая классификация болезней и проблем, связанных со здоровьем (МКБ-10). Десятый пересмотр. Том 1 (часть 1). Всемирная организация здравоохранения, Женева, 1995. 698 с.
7. Захарова И.Н., Османов И.М., Мумладзе Э.Б., Свинцицкая В.И., Бекмурзаева Г.Б. Инфекция мочевых путей у детей: что нужно знать педиатру и нефрологу. Медицинский совет, 2015, 14: 114-118.
8. Zorc JJ, Levine DA, Platt SL et al. Clinical and demographic factors associated with urinary tract infection in young febrile infants. Pediatrics, 2005, 116: 644-8.
9. Kanellopoulos TA, Salakos C, Spiliopoulou I, Ellina A, Nikolako-poulou NM, Papanastasiou DA. First urinary tract infection in neonates, infants and young children: a comparative study. Pediatr. Nephrol., 2006, 21: 1131–7.
10. Детская нефрология: практическое руководство. Под ред. Э. Лоймана, А.Н. Цыгина, А.А. Саркисяна. М.: Литтерра, 2010. 400 с.
11. Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D. Prevalence of urinary tract infection in febrile infants. J. Pediatr., 1993, 123: 17–23.
12. Bonadio WA. Urine culturing technique in febrile infants. Pediatr. Emerg. Care, 1987, 3: 75–8.
13. Bauchner H, Philipp B, Dashefsky B, Klein JO. Prevalence of bacte-riuria in febrile children. Pediatr. Infect. Dis. J., 1987, 6: 239–42.
14. Roberts KB, Charney E, Sweren RJ et al. Urinary tract infection in infants with unexplained fever: a collaborative study. J. Pediatr., 1983, 103: 864– 867.
15. Beetz R. Evaluation and management of urinary tract infections in the neonate. Curr. Opin. Pediatr., 2012, 24: 205–11.
16. Biyikli NK, Alpay H, Ozek E, Akman I, Bilgen H. Neonatal urinary tract infections: analysis of the patients and recurrences. Pediatr. Int., 2004, 46: 21–25.
17. Tosif S, Baker A, Oakley E, Donath S, Babl FE. Contamination rates of different urine collection methods for the diagnosis of urinary tract infections in young children: an observational cohort study. J. Paediatr. Child. Health., 2012, 48: 659-664.
18. Wingerter S, Bachur R. Risk factors for contamination of cathe-terized urine specimens in febrile children. Pediatr. Emerg. Care, 2011, 27: 1–4.
19. Whiting P, Westwood M, Bojke L et al. Clinical effectiveness and costeffectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and eco-nomic model. Health Technol Assess, 2006, 10: iii–iv, xi–xiii, 1–154.
20. Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, Roberts KB. 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: 595-610.
21. Beetz R, Westenfelder M. Antimicrobial therapy of urinary tract infections in children. Int. J. Antimicrob. Agents, 2011 Dec, 38(Suppl): 42-50.
22. Adib N, Ghanbarpour R, Solatzadeh H, Alizade H. Antibiotic resistance profile and virulence genes of uropathogenic Escherichia coli isolates in relation to phylogeny. Trop. Biomed., 2014 Mar, 31(1): 17-25.
Review
For citations:
Zakharova IN, Machneva EB, Memladze EB, Ivakhnenko YI. Diagnosis and treatment of urinary tract infections in children: what’s new? Meditsinskiy sovet = Medical Council. 2017;(1):180-185. (In Russ.) https://doi.org/10.21518/2079-701X-2017-1-180-185
Views:
1184
Email this article 