Revista chilena de pediatría
Print version ISSN 0370-4106
SALAS DEL C, Paulina et al. Update in urinary tract infection in pediatrics. Rev. chil. pediatr. [online]. 2012, vol.83, n.3, pp.269-278. ISSN 0370-4106. http://dx.doi.org/10.4067/S0370-41062012000300009.
Urinary tract infection (UTI) is a common infectious disease in children. Traditionally UTI has been considered as a marker of underlying anatomical or functional urological abnormalities. In the last decades all children with febrile UTI were recommended to undergo imagenological studies looking for renal scarring or urinary tract abnormalities. The goal of this article it is to update the concepts of febrile UTI studies, treatments and follow-up. The imagenological studies are unpleasant for children and distressing for their parents. Current data do not provide enough evidence about the effectiveness of broad studies in UTI, therefore physicians should be more selective in order to find out patients who requiere surgical or medical intervention. These recommendations are based on NICE guidelines and support the concept that one of the most important issues to avoid renal damage is a prompt diagnosis and effective treatment.
Keywords : Urinary tract infection; renal abnormalities; renal scarring; urological malformation.