ITEMS IN AFP WITH KEYWORD:
Urinary Tract Infections
A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 children with a microbiologically confirmed UTI.
A woman with chronic urine catheterization presented with purple colored urine.
Find out which patients are at risk of recurrent infections, when additional evaluation is warranted, which antibiotic regimens are most effective, and the pros and cons of patient-initiated treatment and antibiotic prophylaxis.
Dec 1, 2013 Issue
Are Cranberry Products Effective for the Prevention of Urinary Tract Infections? [Cochrane for Clinicians]
Cranberry products are not effective and should not be recommended for the prevention of UTIs.
Nov 1, 2013 Issue
Optimal Antibiotic Regimen for Treating Lower UTI in Children [Cochrane for Clinicians]
For the afebrile child with a UTI, a short course (three to seven days) of antibiotics is as effective at preventing the recurrence of symptomatic UTI as a long course (seven to 10 days). There is no clear evidence of superiority for any one antibiotic regimen.
This network meta-analysis found that the antibiotics commonly used to treat lower UTI are similar in efficacy, with one exception: amoxicillin/clavulanate (Augmentin) is significantly less effective than the others.
May 15, 2013 Issue
Dipstick Urinalysis for the Diagnosis of Acute UTI [FPIN's Clinical Inquiries]
Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding acute UTI in women.
In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence generated over the pa...
Urinary tract infections are the most common bacterial infections in women. Most urinary tract infections are acute uncomplicated cystitis. Identifiers of acute uncomplicated cystitis are frequency and dysuria in an immunocompetent woman of childbearing age who has no comorbidities or urologic abnor...
Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is nearly universal...