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Wingerter S, Bachur R. Risk factors for contamination of catheterized urine specimens in febrile children. Pediatr Emerg Care 2011; 27:1-4. Physicians and nurses in a pediatric emergency department completed a survey after performing bladder catheterization of febrile children 36 months or younger. Infants younger than 6 months and uncircumcised boys are at increased risk of contaminated specimens from transurethral catheterization. A plea for bladder puncture in this age group.
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Length of intravenous antibiotic therapy and treatment failure in infants with urinary tract infections
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One of the few studies concerning the optimal length of parenteral antibacterial therapy in neonates and infants; however, a retrospective one, leaving some questions open
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Brady PW, Conway PH, Goudie A. Length of intravenous antibiotic therapy and treatment failure in infants with urinary tract infections. Pediatrics 2010; 26:196-203. One of the few studies concerning the optimal length of parenteral antibacterial therapy in neonates and infants; however, a retrospective one, leaving some questions open.
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Montini G, Zucchetta P, Tomasi L, et al. Value of imaging studies after a first febrile urinary tract infection in young children: data from Italian renal infection study 1. Pediatrics 2009; 123:e239-e246.
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The study argues for ultrasound parameters (i.e., renal length, dilatation of the urinary tract) as first-line diagnostics in infants with first UTI
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25
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Subcommittee on Urinary Tract Infection SCoQIaM. The medical literature published after the last version of the guideline in 1999 was analyzed and used as the ground for evidence-based recommendations, including seven well founded statements
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26
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Timing of voiding cystourethrography in infants with first time urinary infection
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Timing of voiding cystourethrogram after urinary tract infection
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[Epub ahead of print] A retrospective single-center review that shows no differences in results and complication rates between VCUGs performed within 1 week after UTI and those performed later
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Spencer JD, Bates CM, Mahan JD, et al. The accuracy and health risks of a voiding cystourethrogram after a febrile urinary tract infection. J Pediatr Urol 2010. [Epub ahead of print] A retrospective single-center review that shows no differences in results and complication rates between VCUGs performed within 1 week after UTI and those performed later.
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Combining imaging with inflammatory parameters opens new diagnostic strategies and probably spares radiologic burden
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Preda I, Jodal U, Sixt R, et al. Imaging strategy for infants with urinary tract infection: a new algorithm. J Urol 2011; 185:1046-1052. Combining imaging with inflammatory parameters opens new diagnostic strategies and probably spares radiologic burden.
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more..
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DOI 10.1542/peds.2005-2051
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Galanakis, E.1
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Procalcitonin is a predictor for high-grade vesicoureteral reflux in children: Meta-analysis of individual patient data
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A worthwhile overview about one of the most promising laboratory parameters for the detection of pyelonephritis and identification of children at risk for VUR by one of the most active working groups in this field
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Leroy S, Romanello C, Galetto-Lacour A, et al. Procalcitonin is a predictor for high-grade vesicoureteral reflux in children: meta-analysis of individual patient data. J Pediatr 2011; 159:644-651 e4. A worthwhile overview about one of the most promising laboratory parameters for the detection of pyelonephritis and identification of children at risk for VUR by one of the most active working groups in this field.
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J Pediatr
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Shim YH, Lee JW, Lee SJ. The risk factors of recurrent urinary tract infection in infants with normal urinary systems. Pediatr Nephrol 2009; 24:309-312.
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A nice meta-analysis of earlier and recent clinical studies in children, coming to the conclusion that there is no evidence that prophylactic antibiotics reduce the incidence of recurrent UTI in children. However, this statement should be regarded with suspicion: the review does not include current data from Gothenburg (see 46-48). Let us also wait for the forthcoming Randomized Intervention for Children with Vesicoureteral Reflux (RIVUR) data and carry out a new metaanalysis considering high-risk groups. It might come to a contrary conclusion
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Dai B, Liu Y, Jia J, Mei C. Long-term antibiotics for the prevention of recurrent urinary tract infection in children: a systematic review and meta-analysis. Arch Dis Child 2010; 95:499-508. A nice meta-analysis of earlier and recent clinical studies in children, coming to the conclusion that there is no evidence that prophylactic antibiotics reduce the incidence of recurrent UTI in children. However, this statement should be regarded with suspicion: the review does not include current data from Gothenburg (see [46-48). Let us also wait for the forthcoming Randomized Intervention for Children with Vesicoureteral Reflux (RIVUR) data and carry out a new metaanalysis considering high-risk groups. It might come to a contrary conclusion.
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