Acta clinica Croatica, Vol. 55. No. 3., 2016.
Original scientific paper
https://doi.org/10.20471/acc.2016.55.03.12
Rational therapy of urinary tract infections in children in Croatia
Danko Milošević
; Zagreb University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Danica Batinić
; Srebrnjak Children’s Hospital, Zagreb, Croatia
Vladimir Trkulja
; Zagreb University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Arjana Tambić Andrašević
; 5 Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Borislav Filipović Grčić
; Zagreb University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia
Kristina Vrljičak
; Zagreb University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia
Boro Nogalo
; Srebrnjak Children’s Hospital, Zagreb, Croatia
Daniel Turudić
; University of Zagreb School of Medicine, Zagreb, Croatia
Marija Spajić
; 6 Karlovac General Hospital, Karlovac, Croatia
Abstract
Resistance to chemotherapeutics used in the treatment of urinary tract infection is increasing throughout the world. Taking into account clinical experiences, as well as current bacterial resistance in Croatia and neighboring countries, the selection of antibiotic should be the optimal one. Treatment of urinary tract infection in children is particularly demanding due to their age and inclination to severe systemic reaction and renal scarring. If parenteral antibiotics are administered initially, it should be switched to oral medication as soon as possible. Financial aspects of antimicrobial therapy are also very important with the main goal to seek the optimal cost/benefit ratio. Financial orientation must appreciate the basic primum non nocere as a conditio sine qua non postulate as well.
Keywords
Child; Urinary tract infections – drug therapy; Antibacterial agents – therapy; Drug resistance, bacterial
Hrčak ID:
172593
URI
Publication date:
9.11.2016.
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