2002, Número 1
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Enf Infec Microbiol 2002; 22 (1)
Infección de vías urinarias en pediatría
Díaz PH, Sandoval MAM
Idioma: Español
Referencias bibliográficas: 29
Paginas: 14-19
Archivo PDF: 51.86 Kb.
RESUMEN
El término infección de vías urinarias, incluye las infecciones de vías urinarias altas y bajas. Es un padecimiento muy frecuente en la edad pediátrica. El cuadro clínico suele ser inespecífico, pero el diagnóstico de certeza es importante por tres razones: la identificación del niño con infección de vías urinarias, la administración del tratamiento adecuado y la identificación del riesgo de insuficiencia renal en niños con pielonefritis. La prueba estándar para el diagnóstico es el cultivo cuantitativo de orina. Se recomienda esperar al resultado del cultivo para el inicio del tratamiento y sólo en casos de cuadro clínico grave y sugestivo se recomienda el inicio de tratamiento empírico.
REFERENCIAS (EN ESTE ARTÍCULO)
American Academy of Pediatrics. Practice Parameter: The diagnosis, treatment. And evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics 1999;103:843-52.
Benador D, Benador N, Slosman D, et tal. Are younger children at highest risk of renal sequelae after pyelonephritis? Lancet 1997;349:17-9.
Roberts KB, Akintemi OB. The epidemiology and clinical presentation of urinary tract infections in children younger than 2 years of age. Pediatrics Annals 1999;28:644-49.
Deshpande PV, Jones KV. An audit of RCP guidelines on DMSA scanning after urinary tract infection. Arch Dis Child 2001;84: 324-27.
Winberg J, Andersen H, Bergström T, et tal. Epidemiology of urinary tract infection in childhood. Acta Paediatric Scand 1974;252:1-20.
Hellström AL, Hanson E, Hansson S, et tal. Association between urinary symptoms at 7 years old and previous urinary tract infection. Arch Dis Child 1991;66:232-4.
Marild S, Jodal U. Incidence rate of first time symptomatic urinary tract infection in children under 6 years of age. Acta Pediatr 1998;87:549-52.
Hoberman A, Wald ER. Urinary tract infections in young febrile children. Pediatric Infect Dis J 1997;16:11-7.
Steele RW. The epidemiology and clinical presentation of urinary tract infections in children 2 years of age through adolescence. Pediatr Ann 1999;28:653-57.
Jakobson B, Esbjörner E, Hansson S, et tal. Minimum incidence and diagnostic rate of first urinary tract infection. Pediatrics 1999;104:222-5.
Schander TA, Lohr JA. Urinary tract infection in outpatient febrile infants and children younger than 5 years of age. Pediatr Ann 1993;22:505-9.
Nuutinen M, Uhari M, Murphy MFG, et tal. Clinical guidelines and hospital discharges of children with acute urinary tract infections. Pediatr Nephrol 1999;13:45-9.
Gervaix A, Galetto-Lacour A, Gueron T, et tal. Usefulness of procalcitonin and C-reactive protein rapid test for the management of children with urinary tract infection. Pediatr Infect Dis J 2001;20:507-11.
Jacobson SH, Eklöf O, Eriksson CG, et tal. Development of hypertension and uremia after pyelonephritis in childhood: 27 year follow up. BMJ 1989;299:703-6.
Chan JCM, Williams DM, Roth KS. Kidney failure in infants and children. Pediatrics in Review 2002;23:47-59.
Warady BA, Hebert D, Sullivan EK, et tal. Renal transplation, chronic dialysis, and chronic renal insufficiency in children and adolescents. The 1995 Annual Report of the North American Pediatric renal transplant cooperative study. Pediatr Nephrol 1997;11:49-64.
Gulati S. Kher V. Urinary tract infection. Indian Pediatrics 1996;33:212-217.
Newman TB, Bernzweig JA, Takayama JI, et al. Urine test and urinary tract infections in febrile infants seen in office settings: the pediatric research in office settings febrile infant study. Arch Pediatr Adolesc Med 2002;156:44-54.
Gorelik MH, Shaw KN. Screening test for urinary tract infection in children: a metaanalysis. Pediatrics 1999;104:e54.
Shaw KN, Hexter D, McGowan KL, et al. Clinical evaluation of a rapid screening test for urinary tract infections in children. J Pediatrics 1991;118:733-6.
Lasch MS, Nachamkin I, Edelstein PH, et al. Spectrum bias in the evaluation of diagnostic test: lessons from the rapid dispstick test for urinary tract infection. Ann Int Med 1992;117:135-40.
Patel K, Charron M, Hoberman A, et al. Intra and interobserver variability in interpretation of DMSA scans using a set of standardized criteria. Pediatr Radiol 1993;23:506-9.
Rushton HG, Massoud M. Dimercaptosuccinic acid renal scintigraphy for the evaluation of pyelonephritis and clinical studies. J Urology 1992;148:1726-32.
Goldman M, Lahat E, Strauss S, et al. Imaging after urinary in male neonates. Pediatrics 2000;105:1232-35.
Gleeson FV, Gordon I. Imaging in urinary tract infection. Arch Dis Child 1991;66:1282-3.
Larcombe J. Clinical evidence. Urinary tract infection in children. BMJ 1999;319:1173-75.
Michael M, Hodson EM, Craig JC, et tal. Short compared with standard duration of antibiotic treatment for urinary tract infection; a systematic review of randomized controlled trials. Arch Dis Child 2002;87:118-123.
Smith CL, Powell KR. Review of the sulfonamides and trimethoprim. Pediatrics in review 2000;21:368-72.
Hoberman A, Wald ER. Treatment of urinary tract infections. Concise reviews of pediatric infectious diseases. Pediatr Infect Dis J 1999;1020-22.