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Urinary Tract Infections in Children

Goran Tešović
Danica Batinić

Sažetak

Urinary tract infections belong to the most
frequent bacterial infections in children, especially female children.
The leading causative agents of urinary tract infections in
children are enterobacteria, and primarily Escherichia coli that
causes 70-90% of all infections. All urinary tract infections in
children, other than in neonatal age result from ascension of
pathogens from the urethra into upper parts of the urinary tract.
The virulent factors of uropathogen bacteria play a key role in
the development of urinary tract infections. The stimulating host
factors, especially anatomic and functional abnormalities of the
urinary tract, are also important in their development. Urinary
tract infections in children are usually classifi ed by site of the
infection into acute cystitis and acute pyelonephritis, by stimulating
host factors into uncomplicated and complicated, and by
incidence into acute and recurrent infections. The basis of diagnosis,
and of the correct antimicrobial therapy of urinary tract
infections, is urine culture with antibiotic sensitivity test of the
isolated pathogen. In addition to ethiologic diagnosis, the analysis
of any urinary tract infection in children also requires imaging
diagnostics methods, primarily to determine the existence of
urinary tract anomalies. Although the prognosis of urinary infections
in children is generally good, it primarily depends on the
timely onset of treatment. Antimicrobial treatment in the majority
of patients with urinary tract infections, other than those of
neonatal age, can be carried out in outpatient facilities. Only
the early onset of antimicrobial therapy reduces the possibility
of permanent damages (scar) of renal parenchyma in children
with pyelonephritis. In children with urinary tract abnormalities,
as well as in those with recurrent urinary tract infections, the
prophylactic administration of antibiotics and other prophylactic
and corrective measures are also important.

Ključne riječi

urinary tract infections; children; diagnostics; therapy; prevention

Hrčak ID:

18164

URI

https://hrcak.srce.hr/18164

Datum izdavanja:

29.12.2006.

Podaci na drugim jezicima: hrvatski

Posjeta: 5.195 *