Pregledni rad
https://doi.org/10.26800/LV-145-supl5-13
Diagnostic guidelines after urinary tract infection in children
Andrea Cvitković Roić
; Poliklinika za dječje bolesti Helena, Zagreb
Iva Palčić
; Poliklinika za dječje bolesti Helena, Zagreb
*
Goran Roić
; Medicinski fakultet Sveučilišta u Rijeci, Klinika za dječje bolesti Zagreb
* Dopisni autor.
Sažetak
Urinary tract infections (UTI) are common in children of all ages, especially in infants and young children. Long-term complications of recurrent UTI are renal scarring, hypertension, proteinuria, and chronic kidney disease. The most important risk factors for the recurrence of UTI and sequelae after UTI are congenital anomalies of the kidneys and urinary tract and bladder-bowel dysfunction. Therefore, the main goal of imaging diagnostic tests is to determine which patients are at risk for recurrent or complicated UTI and to detect anomalies of the urinary tract or indirect signs of bladder and bowel dysfunction. The diagnostic guidelines in children after UTI have changed over the time and there are still differences depending on the availability of different methods. In 2018, the Croatian Society of Pediatric Nephrology introduced a guideline with recommendations which diagnostic procedure is indicated in certain clinical situations. According to the guidelines of the Croatian Society for Pediatric Nephrology, ultrasound (US) is indicated for all children with UTI. Additional diagnostic procedures are indicated if the child has recurrent UTI or after the first febrile UTI, if the US is abnormal, the course of UTI is atypical, or the child has a positive family history of VUR. It is recommended to use methods without ionizing radiation, such as contrast enhanced voiding urosonography (ceVUS) and magnetic resonance urography (MRU).
Ključne riječi
Hrčak ID:
309001
URI
Datum izdavanja:
10.10.2023.
Posjeta: 713 *