Original scientific paper

Difficulties in diagnosing and interpreting bacteriuria in febrile infants and children

Vlado Taborsky

Abstract

Although the urinary tract is a relatively common site of infections in pediatric practice, many disagreements about certain details related to the diagnosis and management of acute urinary tract infections in infants and children continue to exist. Bacteriuria, or reccurent urinary tract infections arc often the cause of difficult problems in the management. The prognosis in infants may be guarded if recurrent bacteriuria, with or without symptoms, occures even in the absence of anatomical defects. Unique features in the etiology, pathogenesis and clinical picture of urinary tract infections in children were studied in 231 infants with a confirmed symptomatic or asymptomatic urinary tract infection, who were admitted to the Pediatric Department for Infectious Diseases during a three-year period. The rate of infants with a confirmed urinary tract infection was 6.7%. The criteria for making selection of the patients who require radiological evaluation in the management of urinary tract infections and the concepts about an acceptable therapy for urinary tract infections in infants are reported.

Keywords

bacteriuria; diagnostics; febrile infants; interpretation; preschool children

Hrčak ID:

197252

URI

https://hrcak.srce.hr/197252

Publication date:

1.12.1988.

Article data in other languages: croatian

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