URINARY TRACT INFECTION IN PEDIATRICS: DIAGNOSTIC AND THERAPEUTIC APPROACHES - A BIBLIOGRAPHICAL REVIEW OF LITERATURE
DOI:
https://doi.org/10.47820/recima21.v5i3.4972Keywords:
Urinary Tract Infections. Pediatrics. Diagnosis. Therapeutics.Abstract
Introduction: Urinary tract infections (UTI), when not properly diagnosed and treated, can lead to short- and long-term complications, impacting not only current health, but also future kidney development. Objective: To analyze the diagnostic and therapeutic approaches to UTI in the pediatric age group. Methodology: This is a bibliographical review, using articles present in the following databases: PubMed, Scopus and SciELO. Original articles and systematic reviews in English and Portuguese published between 2014 and 2024 were included, which addressed diagnostic and therapeutic approaches to UTI in the pediatric age group. After analysis, 16 articles were selected to prepare this bibliographic review. Results and Discussion: The incorporation of complementary exams plays a crucial role in the diagnostic approach to UTI in pediatric patients, particularly given the atypical presentation of symptoms. The therapeutic approach generally includes administration of antibiotics, supportive care and, when necessary, further investigation to identify possible urinary tract abnormalities. Conclusion: Pediatric UTIs, although common, present diagnostic challenges due to often atypical symptoms and difficulty communicating in younger patients. Therefore, it is clear that early diagnosis and treatment are essential to ensure the health and well-being of affected children.
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A‘T HOEN, Lisette et al. Update of the EAU/ESPU guidelines on urinary tract infections in children. Journal of pediatric urology, v. 17, n. 2, p. 200-207, 2021. DOI: https://doi.org/10.1016/j.jpurol.2021.01.037
BRANDSTRÖM, Per; HANSSON, Sverker. Urinary Tract Infection in Children. Pediatric Clinics, v. 69, n. 6, p. 1099-1114, 2022. DOI: https://doi.org/10.1016/j.pcl.2022.07.003
DIAZ KANE, Molly. Diagnosing and Treating Urinary Tract Infections in the Outpatient Setting. Pediatric Annals, v. 51, n. 5, p. e175-e177, 2022. DOI: https://doi.org/10.3928/19382359-20220314-01
FOX, Miriam T. et al. Comparative effectiveness of antibiotic treatment duration in children with pyelonephritis. JAMA Network Open, v. 3, n. 5, p. e203951-e203951, 2020. DOI: https://doi.org/10.1001/jamanetworkopen.2020.3951
KHAN, Anum et al. Update on associated risk factors, diagnosis, and management of recurrent urinary tract infections in children. Journal of the Pediatric Infectious Diseases Society, v. 8, n. 2, p. 152-159, 2019. DOI: https://doi.org/10.1093/jpids/piy065
KORBEL, Lindsey; HOWELL, Marianella; SPENCER, John David. The clinical diagnosis and management of urinary tract infections in children and adolescents. Paediatrics and international child health, v. 37, n. 4, p. 273-279, 2017. DOI: https://doi.org/10.1080/20469047.2017.1382046
LEUNG, Alexander KC et al. Urinary tract infection in children. Recent patents on inflammation & allergy drug discovery, v. 13, n. 1, p. 2-18, 2019. DOI: https://doi.org/10.2174/1872213X13666181228154940
MATTOO, Tej K.; SHAIKH, Nader; NELSON, Caleb P. Contemporary management of urinary tract infection in children. Pediatrics, v. 147, n. 2, 2021. DOI: https://doi.org/10.1542/peds.2020-012138
MENGATI, Bianca Nunes; HOFFMANN, Stela Maris. Exames laboratoriais para diagnósticos das infecções do trato urinário. Revista Mato-Grossense de Saúde, v. 1, n. 1, p. 16-30, 2023.
OKARSKA-NAPIERAŁA, M.; WASILEWSKA, A.; KUCHAR, E. Urinary tract infection in children: Diagnosis, treatment, imaging–Comparison of current guidelines. Journal of pediatric urology, v. 13, n. 6, p. 567-573, 2017. DOI: https://doi.org/10.1016/j.jpurol.2017.07.018
OLIVEIRA, Eduardo A. et al. Urinary tract infection in pediatrics: an overview. Jornal de pediatria, v. 96, p. 65-79, 2020. DOI: https://doi.org/10.1016/j.jped.2019.10.006
PETCU, Clara T. et al. Management of paediatric recurrent urinary tract infections and challenges in special patient populations. Australian Journal of General Practice, v. 50, n. 7, p. 458-464, 2021. DOI: https://doi.org/10.31128/AJGP-03-21-5922
RAMÍREZA, Flavia et al. Guía para el diagnóstico, estudio y tratamiento de la infección urinaria: actualización 2022. ÍNDICE, p. 128, 2022.
ROSADO, María Romo et al. Urinary Tract Infection in Pediatrics: Study of Uropathogens and Their Resistance in a Madrid Hospital. Archivos Espanoles de Urologia, v. 75, n. 9, p. 791-797, 2022. DOI: https://doi.org/10.56434/j.arch.esp.urol.20227509.115
TULLUS, Kjell; SHAIKH, Nader. Urinary tract infections in children. The Lancet, v. 395, n. 10237, p. 1659-1668, 2020. DOI: https://doi.org/10.1016/S0140-6736(20)30676-0
ZAFFARI, Sandréli; DA SILVA, Camila Pires Machado; SCHNEIDER, Taiane. Infecção no trato urinário: uma revisão bibliográfica. Revista de Ciências da Saúde-REVIVA, v. 2, n. 2, 2023.
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