Espinosa SMC, Juárez JCA, Brueggerhoff BCA, Padrillo MMEM, Reyes GU, Reyes HKL, Alonso PNC, López CG, Ramírez SLP, González OAM

Language: Spanish
References: 25
Page: 160-164
PDF size: 196.05 Kb.

ABSTRACT

Escherichia coli is the etiological agent responsible for more than 70% of urinary tract infections (UTI) in children and almost 90% of uncomplicated infections. Among the less frequent germs, the species of: Klebsiella, Proteus, Enterobacter, Pseudomonas aeruginosa and Enterococcus stand out. Coagulase-negative staphylococcus can cause utis in newborns and Staphylococcus saprophyticus in young women and adolescents. The goals of treatment are bacterial eradication, relief of symptoms, and prevention or reduction of kidney damage. It is recommended that children with a presumptive diagnosis of UTI be empirically treated with antibiotics after an appropriate urine sample for culture has been obtained. Early treatment with antibiotics could reduce the severity of kidney scarring. Whenever possible, the selection of initial empirical antibiotic therapy will be based on the local susceptibility pattern, avoiding those antimicrobials with a resistance ≥ 10-15%. It is necessary for doctors to know the sensitivities of the different antibiotics in their community. Specific indications for antimicrobial prophylaxis are addressed.

REFERENCES

1. González Rodríguez, J.D. y Rodríguez Fernández, L.M.,“Infección de vías urinarias en la infancia”, Protoc DiagnTer Pediatr, 2014, 1: 91-108.

2. Karmazyn, B.K., Alazraki, A.L., Anupindi, S.A., Dempsey,M.E., Dillman, J.R., Dorfman, S.R. et al., “Expert panelon pediatric imaging: acr appropriateness criteria, urinarytract infection-child”, J Am Coll Radiol, 2017, 14(5S): S362-S371.

3. Schlager, T.A., “Urinary tract infections in infants andchildren”, Microbiol Spectr, 2016, 4 (5). doi: 10.1128/microbiolspec. uti-0022-2016.

4. Shaikh, N. y Hoberman, A., “Urinary tract infections inchildren: epidemiology and risk factors”. En T.W. Post(ed.), UpToDate, Waltham, MA.

5. Drekonja, D.M. y Johnson, J.R., “Urinary tract infections”,Prim Care, 2008, 35 (2): 345-367.

6. Morello, W., La Scola, C., Alberici, I. y Montini, G., “Acutepyelonephritis in children”, Pediatr Nephrol, 2016, 31(8): 1253-1265.

7. Balighian, E. y Burke, M., “Urinary tract infections in children”,Paediatr Rev, 2018, 39 (1): 3-12.

8. Robinson, J.L., Finlay, J.C., Lang, M.E. y Bortolussi, R.,“Urinary tract infections in infants and children: diagnosisand management”, Paediatr Child Health, 2014, 19(6): 315-325.

9. Garout, W.A., Kurdi, H.S., Shilli, A.H. y Kari, J.A., “Urinarytract infection in children younger than 5 years. Etiologyand associated urological anomalies”, Saudi Med J,2015, 36 (4): 497-501.

10. Larcombe, J., “Urinary tract infection in children”, AmFam Physician, 2010, 82 (10): 1252-1256.

11. Larcombe, J., “Urinary tract infection in children: recurrentinfections”, bmj Clin Evid, 2015, 2015: 0306.

12. Clark, C.J., Kennedy, W.A. y Shortliffe, L.D., “Urinarytract infection in children: when to worry”, Urol ClinNorth Am, 2010, 37 (2): 229-241.

13. Bell, L.E. y Mattoo, T.K., “Update on childhood urinarytract infection and vesicoureteral reflux”, SeminNephrol, 2009, 29 (4): 349-359.

14. Leung, A.K.C., Wong, A.H.C., Leung, A.A.M. y Hon, K.L.,“Urinary tract infection in children”, Recent Pat InflammAllergy Drug Discov. 2019, 13 (1): 2-18. doi: 10.2174/1872213X13666181228154940.

15. Leung, A.K., Kao, C.P. y Robson, W.L., “Urinary tract infectiondue to Salmonella stanleyville in an otherwisehealthy child”, J Natl Med Assoc, 2005, 97 (2): 281-283.

16. Arora, N., Saha, A. y Kaur, M., “Tuberculous pyelonephritisin children: three case reports”, Paediatr Int ChildHealth, 2017, 37 (4): 292-297.

17. Pougnet, R., Sapin, J., De Parscau, L. y Pougnet, L.,“Streptococcus pneumoniae urinary tract infection inpediatrics”, Ann Biol Clin (París), 2017, 75 (3): 348-350.

18. Leung, A.K., “Urinary tract infection”. En Commonproblems in ambulatory pediatrics: specific clinicalproblems, vol. 1, Nueva York, Nova Science Publishers,2011, pp. 173-181.

19. Michael, M., Hodson, E.M., Craig, J.C., Martin, S. yMoyer, V.A., “Short versus standard duration oral antibiotictherapy for acute urinary tract infection in children”,Cochrane Database Syst Rev, 2003, (1): CD003966.

20. Fitzgerald, A., Mori, R., Lakhanpaul, M. y Tullus, K., “Antibioticsfor treating lower urinary tract infection in children”,Cochrane Database Syst Rev, 2012, (8): CD006857.

21. Hodson, E.M., Willis, N.S. y Craig, J.C., “Antibiotics foracute pyelonephritis in children”, Cochrane DatabaseSyst Rev, 2007, (4): CD00377.

22. Strohmeier, Y., Hudson, E.M., Willis, N.S., Webster,A.C. y Craig, J.C., “Antibiotics for acute pyelonephritisin children”, Cochrane Database Syst Rev, 2014, (7):CD003772.

23. Shaikh, N. y Hoberman, A., “Urinary tract infections ininfants older than one month and young children: acutemanagement, imaging, and prognosis”. En T.W. Post(ed.), UpToDate, Waltham, MA, 2018.

24. Roussey-Kesler, G., Gadjos, V. y Idres, N., “Antibiotic prophylaxisfor the prevention of recurrent urinary tract infectionin children with low grade vesicoureteral reflux:results from a prospective randomized study”, J Urol,2008, 179: 674-679.

25. Hewitt, I.K., Pennesi, M., Morello, W., Ronfani, L. yMontini, G., “Antibiotic prophylaxis for urinary tract infection-related renal scarring: a systematic review”,Pediatrics, 2017, 139 (5): e20163145.