The Natural History of Bacteriuria in Childhood

Hansson, Sverker; Martinell, Jeanette; Stokland, Eira; Jodal, Ulf

doi:10.1016/s0891-5520(05)70370-6

Cited by 129 publications

(42 citation statements)

References 28 publications

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“…In the preantibiotic era, UTI had a mortality rate as high as 20% although acute complications in healthy children are now uncommon except in young infants, who may progress to systemic infection (14,25) Long-term complications of UTI have been associated with renal scarring and include hypertension, chronic renal failure, and toxemia in pregnancy. Long-term follow-up data are limited, although one Swedish study found that children diagnosed with renal scarring due to pyelonephritis during the 1950s and 1960s developed high rates of hypertension (23%) and end-stage renal disease (10%) (36).…”

Section: Epidemiology and Importance Of Utimentioning

confidence: 99%

“…Several long-term screening studies of infants and schoolaged girls from Scandinavia have better defined this entity and reveal some of the complexities of the host-pathogen relationship in UTI (25). Among a group of 3,581 infants, asymptomatic bacteriuria was identified and confirmed by suprapubic aspiration in 2.5% of boys and 0.9% of girls (72).…”

Section: Definition and Pathophysiologymentioning

confidence: 99%

“…A long-term follow-up study of 116 school-aged girls with asymptomatic bacteriuria also found no difference in renal growth and function between those randomized to treatment or observation (45). Furthermore, treatment with prophylactic antibiotics appeared to lead to an increased likelihood of pyelonephritis, usually with different strains of bacteria than were originally present (25). None of the girls with asymptomatic bacteriuria who were left untreated went on to develop symptomatic infection.…”

Section: Definition and Pathophysiologymentioning

confidence: 99%

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Diagnosis and Management of Pediatric Urinary Tract Infections

2005

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Urinary tract infection (UTI) is among the most commonly diagnosed bacterial infections of childhood. Although frequently encountered and well researched, diagnosis and management of UTI continue to be a controversial issue with many challenges for the clinician. Prevalence studies have shown that UTI may often be missed on history and physical examination, and the decision to screen for UTI must balance the risk for missed infections with the cost and inconvenience of testing. Interpretation of rapid diagnostic tests and culture is complicated by issues of contamination, false test results, and asymptomatic colonization of the urinary tract with nonpathogenic bacteria. The appropriate treatment of UTI has been controversial and has become more complex with the emergence of resistance to commonly used antibiotics. Finally, the anatomic evaluation and long-term management of a child after a UTI have been based on limited evidence, and newer studies question some of the tenets of prior recommendations. The goal of this review is to provide an up-to-date summary of the literature with particular attention to practical questions about diagnosis and management for the clinician

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Section: Epidemiology and Importance Of Utimentioning

confidence: 99%

Section: Definition and Pathophysiologymentioning

confidence: 99%

Section: Definition and Pathophysiologymentioning

confidence: 99%

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Diagnosis and Management of Pediatric Urinary Tract Infections

2005

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“…In the preantibiotic era, UTI had a mortality rate as high as 20%, although acute complications in healthy children are now uncommon except in young infants, who may progress to systemic infection (Dayan et al, 2004;Hansson et al, 1997). Long-term complications of UTI have been associated with renal scarring and include hypertension, chronic renal failure, and toxemia in pregnancy.…”

Section: Importance Of Utimentioning

confidence: 99%

Current Management of Urinary Tract Infection in Children

Kïbar¹

2011

Urinary Tract Infections

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“…2 Inthe pre-antibiotic era, UTI had a mortality rate as high as 20% although acute complications in healthy children are now uncommon except in young infants, who may progress to systemic infection. 3,4 Long-term complications of UTI have been associated with renal scarring and include hypertension, chronic renal failure and toxemia in pregnancy. Long-term follow-up data are limited.…”

Section: Introductionmentioning

confidence: 99%

Bacterial Pattern and Risk Factors Associated with Urinary Tract Infection in Secondary School Going Girls in Dhaka City

Asaduzzaman¹

2018

jmscr

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The Natural History of Bacteriuria in Childhood

Cited by 129 publications

References 28 publications

Diagnosis and Management of Pediatric Urinary Tract Infections

Diagnosis and Management of Pediatric Urinary Tract Infections

Current Management of Urinary Tract Infection in Children

Bacterial Pattern and Risk Factors Associated with Urinary Tract Infection in Secondary School Going Girls in Dhaka City

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