Work-up of Pediatric Urinary Tract Infection

Urol Clin North Am. 2015 Nov;42(4):519-26. doi: 10.1016/j.ucl.2015.05.011. Epub 2015 Aug 4.

Abstract

Pediatric urinary tract infection (UTI) costs the health care system more than $180 million annually, and accounts for more than 1.5 million clinician visits per year. Accurate and timely diagnosis of these infections is important for determining appropriate treatment and preventing long-term complications such as renal scarring, hypertension, and end-stage renal disease. After the first 12 months, girls are more likely to be diagnosed with a UTI. About half of boys with UTI are diagnosed within the first 12 months of life. Diagnosis of UTI is made based on history and examination findings and confirmed by urine testing.

Keywords: Antibiotic resistance; Guidelines; Pediatric; Suprapubic aspiration; UTI; Uropathogen; Vesicoureteral reflux.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use*
  • Child
  • Child, Preschool
  • Diagnostic Imaging
  • Female
  • Humans
  • Infant
  • Male
  • Medical History Taking
  • Physical Examination
  • Specimen Handling / methods*
  • Urinalysis
  • Urinary Tract Infections / diagnosis*
  • Urinary Tract Infections / drug therapy*
  • Urinary Tract Infections / microbiology
  • Urinary Tract Infections / urine

Substances

  • Anti-Bacterial Agents