×
Home Current Archive Editorial board
News Contact
Reviews

Characteristics of urinary tract infections in children up to 7 years of age

By
Vojo Kulić ,
Vojo Kulić
Veselinka Šupić ,
Veselinka Šupić

Faculty of Medicine Foca, University of East Sarajevo, Lukavica, Bosnia and Herzegovina

Biljana Milinković ,
Biljana Milinković
Contact Biljana Milinković

Faculty of Medicine Foča, University of East Sarajevo, Lukavica, Bosnia and Herzegovina

Dejan Bokonjić ,
Dejan Bokonjić

Faculty of Medicine Foča, University of East Sarajevo, Lukavica, Bosnia and Herzegovina

Bojan Joksimović
Bojan Joksimović

Faculty of Medicine Foča, University of East Sarajevo, Lukavica, Bosnia and Herzegovina

Abstract

Urinary tract infection (UTI) is defined as a presence of significant bacteriuria in a properly collected urine sample, followed by various clinical manifestations - from asymptomatic bacteriuria to acute pyelonephritis. It is most common in infancy and particularly in females. There is a higher risk of UTI in children with underlying urological anomalies, voiding dysfunction and constipation. The subsequent long-term complications such as hypertension and chronic renal insufficiency might arise in children with recurrent pyelonephritis due to renal scarring. The early and proper diagnosis of UTI needs to be based on the recognition of clinical signs and symptoms of UTI, microscopic examination of urine sediment, urine culture and radiological findings. The objective of various medical imaging studies, including kidney and bladder ultrasound, voiding cystourethrography and technetium-99m-dimercaptosuccinic acid renal scintigraphy, is to identify urinary tract abnormalities, as well as risk factors for recurrent infections. The UTI that has been diagnosed requires a 7-14-day course of antimicrobial therapy in symptomatic and especially febrile children. In most children, the early diagnosis and treatment of recurrent UTI is of utmost importance. In this way the development of permanent kidney damage, as well as permanent consequences will be prevented.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.