6533b7dafe1ef96bd126e98f

RESEARCH PRODUCT

PO-0779 Which Parameters Are Mandatory In Urinary Tract Infection In Children?

L DobrotaMl Neamtu

subject

medicine.medical_specialtybiologymedicine.diagnostic_testbusiness.industrymedicine.drug_classUrinary systemAntibioticsRetrospective cohort studyGuidelineurologic and male genital diseasesbiology.organism_classificationScintigraphymedicine.disease_causefemale genital diseases and pregnancy complicationsSurgeryProteusEnterococcusInternal medicinePediatrics Perinatology and Child HealthMedicinebusinessStaphylococcus

description

Background The protocol of investigations in urinary tract infection (UTI) in children mandatory includes urianalysis, uroculture, reactive C protein (RCP), blood urea (BUN), renal ultrasonography and scintigraphy. Each one of these has limits to perform in children. Aims To establish the correlations between UTI investigations for argumentation the therapeutic decision. Methods Retrospective study of hospitalised paediatric patients for UTI. The study parameters were: age, symptoms, RCP, BUN, uroculture, renal ultrasonography, urinanalysis (leukocytes, nitrites, pH, density, proteins, erythrocytes, ascorbic acid-AA). Results Were studied 243 hospitalised and treated with antibiotics UTI. Uroculture was positive in 178 patients (143 E.coli, 16 Enterococcus, 17 Proteus, 2 Staphylococcus). Negative uroculture was considered as decapitated UTI by antibiotics initiated before admission. 52 patients were 1 year old) presented renal specific symptoms. 22 (42,3% from patients Conclusions In guideline of UTI diagnosis with negative uroculture, fever, RCP, BUN, leukocyturia, ultrasonography become mandatory.

yearjournalcountryeditionlanguage
2014-10-01Archives of Disease in Childhood
https://doi.org/10.1136/archdischild-2014-307384.1416