Swiss consensus recommendations on urinary tract infections in children

被引：57

作者：

Buettcher, Michael ^{[1
]}

Trueck, Johannes ^{[2
]}

Niederer-Loher, Anita ^{[3
]}

Heininger, Ulrich ^{[4
]}

Agyeman, Philipp ^{[5
]}

Asner, Sandra ^{[6
]}

Berger, Christoph ^{[2
]}

Bielicki, Julia ^{[4
]}

Kahlert, Christian ^{[3
]}

Kottanattu, Lisa ^{[7
]}

Sauteur, Patrick M. Meyer ^{[2
]}

Paioni, Paolo ^{[2
]}

Posfay-Barbe, Klara ^{[8
,9
]}

Relly, Christa ^{[2
]}

Ritz, Nicole ^{[4
]}

Zimmermann, Petra ^{[10
,11
]}

Zucol, Franziska ^{[12
]}

Gobet, Rita ^{[13
]}

Shavit, Sandra ^{[14
]}

Rudin, Christoph ^{[15
]}

Laube, Guido ^{[16
]}

von Vigier, Rodo ^{[17
]}

Neuhaus, Thomas J. ^{[18
]}

机构：

[1] Cantonal Hosp Lucerne, Lucerne Childrens Hosp, Paediat Infect Dis, Spitalstr, CH-6000 Luzern 16, Switzerland

[2] Univ Childrens Hosp Zurich, Div Infect Dis & Hosp Epidemiol, Steinwiesstr 75, CH-8032 Zurich, Switzerland

[3] Childrens Hosp Eastern Switzerland, Infect Dis & Hosp Epidemiol, Claudiusstr 6, CH-9006 St Gallen, Switzerland

[4] Univ Basel, Childrens Hosp, Paediat Infect Dis, Spitalstr 33, CH-4056 Basel, Switzerland

[5] Univ Bern, Bern Univ Hosp, Inselspital, Dept Pediat Infect Dis, Freiburgstr 15, CH-3010 Bern, Switzerland

[6] Lausanne Univ Hosp, Dept Mother Woman Child, Pediat Infect Dis & Vaccinol Unit, Lausanne, Switzerland

[7] Osped Reg Bellinzona & Valli, Pediat Inst Southern Switzerland, Pediat Infect Dis, Via Osped 12, CH-6500 Bellinzona, Switzerland

[8] Univ Hosp Geneva, Dept Woman Child & Adolescent, Gen Pediat & Pediat Infect Dis Unit, CH-1211 Geneva 14, Switzerland

[9] Med Sch Geneva, 6 Rue Willy Donze, CH-1211 Geneva 14, Switzerland

[10] Univ Fribourg, Fribourg Hosp HFR, Dept Paediat, Fribourg, Switzerland

[11] Univ Fribourg, Fac Sci & Med, Fribourg, Switzerland

[12] Cantonal Hosp Winterthur, Dept Paediat, Paediat Infect Dis, Brauerstr 15, CH-8401 Winterthur, Switzerland

[13] Univ Childrens Hosp Zurich, Paediat Urol, Steinwiesstr 75, CH-8032 Zurich, Switzerland

[14] Cantonal Hosp Lucerne, Lucerne Childrens Hosp, Paediat Surg, Spitalstr, CH-6000 Luzern 16, Switzerland

[15] Univ Childrens Hosp Basel, Pediat Nephrol, Spitalstr 33, CH-4031 Basel, Switzerland

[16] Univ Childrens Hosp Zurich, Pediat Nephrol, Steinwiesstr 75, CH-8032 Zurich, Switzerland

[17] Wildermeth Childrens Hosp, Pediat Clin, Kloosweg 84, CH-2502 Biel, Switzerland

[18] Cantonal Hosp Lucerne, Lucerne Childrens Hosp, Paediat, Spitalstr, CH-6000 Luzern 16, Switzerland

来源：

EUROPEAN JOURNAL OF PEDIATRICS | 2021年 / 180卷 / 03期

关键词：

Urinary tract infection; CAKUT; Vesicoureteric reflux; Guideline; Imaging; Prophylaxis; RISK-FACTORS; VESICOURETERAL REFLUX; ESCHERICHIA-COLI; INFANTS; MANAGEMENT; CHILDHOOD; METAANALYSIS; ADOLESCENTS; UTI;

D O I：

10.1007/s00431-020-03714-4

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The kidneys and the urinary tract are a common source of infection in children of all ages, especially infants and young children. The main risk factors for sequelae after urinary tract infections (UTI) are congenital anomalies of the kidney and urinary tract (CAKUT) and bladder-bowel dysfunction. UTI should be considered in every child with fever without a source. The differentiation between upper and lower UTI is crucial for appropriate management. Method of urine collection should be based on age and risk factors. The diagnosis of UTI requires urine analysis and significant growth of a pathogen in culture. Treatment of UTI should be based on practical considerations regarding age and presentation with adjustment of the initial antimicrobial treatment according to antimicrobial sensitivity testing. All children, regardless of age, should have an ultrasound of the urinary tract performed after pyelonephritis. In general, antibiotic prophylaxis is not recommended. Conclusion: Based on recent data and in line with international guidelines, multidisciplinary Swiss consensus recommendations were developed by members of Swiss pediatric infectious diseases, nephrology, and urology societies giving the clinician clear recommendations in regard to diagnosis, type and duration of therapy, antimicrobial treatment options, indication for imaging, and antibiotic prophylaxis.

引用

页码：663 / 674

页数：12

共 53 条

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