Article ID Journal Published Year Pages File Type
10162934 Pediatria Polska 2014 9 Pages PDF
Abstract
Urinary tract infection (UTI) is a frequently occurring clinical problem in childhood. As many as 1-3% girls and 1% boys will be diagnosed with UTI in first 5 years of live. Several guidelines exist on UTI in children. All the available guidelines underline the importance of a correct diagnosis of febrile UTI to allow a more rational use of antibiotics and imaging. High body temperature, abdominal pain, back pain and high procalcitonin levels (>0.5 ng/ml) during the acute phase of disease are suggestive of severe inflammation in kidney (pyelonephritis). Children with UTI are at risk of renal scarring, which may lead to impaired renal function and hypertension. The role of family doctor and pediatricians in early diagnosis and treatment of UTI is of particular importance.
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