Korean J Pediatr.
2009 Sep;52(9):976-983. 10.3345/kjp.2009.52.9.976.
Guidelines for childhood urinary tract infection
- Affiliations
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- 1Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea. sjoolee@ewha.ac.kr
- KMID: 2281252
- DOI: http://doi.org/10.3345/kjp.2009.52.9.976
Abstract
- Urinary tract infection (UTI), the most common bacterial disease in childhood, is frequently associated with urinary tract anomalies (15-50%) and can induce renal scarring, which is a cause of hypertension and chronic kidney disease. Despite the high risk of renal scarring in infancy, the diagnosis may be delayed due to its nonspecific presenting symptoms; moreover, over-diagnosis is frequent due to the contamination of urine samples. The delay in diagnosis and treatment may induce sepsis or renal scar, while over-diagnosis is responsible for unnecessary antibiotic treatment and costly urinary imaging studies. UTI guidelines have been ever-changing for the past three decades, but some controversial issues remain. This article is a revision of the previous KSPN (Korean Society of Pediatric Nephrology) guideline and addresses the recent controversies concerning childhood UTI.
