AI Article Synopsis
- Symptoms of urinary tract infections (UTIs) in young children are often vague, making urine sampling difficult, but new biomarkers and clean-catch techniques allow for safer and quicker diagnoses.
- Guidelines suggest using ultrasound and risk factors to guide further treatment for children who may be at risk of kidney damage.
- While most children recover well from UTIs, those with severe kidney scarring may face complications like high blood pressure and decreased kidney function later on.
Article Abstract
Symptoms of urinary tract infection (UTI) in young children are nonspecific and urine sampling is challenging. A safe and rapid diagnosis of UTI can be achieved with new biomarkers and culture of clean-catch urine, reserving catheterization or suprapubic aspiration for severely ill infants. Most guidelines recommend ultrasound assessment and use of risk factors to direct further management of children at risk of kidney deterioration. The increasing knowledge of the innate immune system will add new predictors and treatment strategies to the management of UTI in children. Long-term outcome is good for the majority, but individuals with severe scarring can develop hypertension and decline in kidney function.
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| http://dx.doi.org/10.1016/j.pcl.2022.07.003 | DOI Listing |
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