Review article
https://doi.org/10.26800/LV-144-supl1-31
Diagnostic procedures in children with urinary tract infections
Jadranka Arambašić
; Klinika za pedijatriju, Klinički bolnički centar Osijek
Jerko Arambašić
; Klinika za unutarnje bolesti, Klinički bolnički centar Osijek
Abstract
Urinary tract infections (UTI) make a significant count of infections in children with potentially permanent consequences. This is a heterogeneous group of diseases considering age, gender, clinical picture, localisation of infection and potential anatomy anomalies of urinary tract. Urinary tract infections can be symptomatic or asymptomatic. Sometimes, only the first infection is symptomatic, and others have none or few symptoms. The later can also cause renal injury. In diagnostics, the most important step is a urinalysis (nitrite tests and leukocyte esterase), microscopic exam of urine sediment (Leukocytes and bacteria), and urine culture. Depending on the sampling technique, significant bacteriuria is ≥105 CFU/mL for clean catch technique and midstream technique. For sampling using urine catheter, significant bacteriuria is ≥103 CFU/mL and for suprapubic aspiration technique, any count of bacteria is significant. Blood samples are also important: C-reactive protein, leukocytes, procalcitonin. Imaging methods in UTI are ultrasound of urinary tract and static scintigraphy of kidney with Tc99mDMSA. The golden standard for the diagnosis of acute pyelonephritis and kidney scars is static scintigraphy.
Keywords
URINARY TRACT INFECTIONS, BACTERIURIA, ACUTE PYELONEPHRITIS, DIAGNOSTICS
Hrčak ID:
275958
URI
Publication date:
24.4.2022.
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