ITEMS IN AFP WITH KEYWORD:
Urinary Tract Infections
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...
Jul 15, 2011 Issue
Antibiotic Prophylaxis to Prevent Recurrent UTI in Children [FPIN's Clinical Inquiries]
Antibiotic prophylaxis to prevent recurrent UTI may be considered in infants and children with or without vesicoureteral reflux (VUR) after a first UTI.
Acute urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age. The most common pathogen is Escherichia coli, accounting for approximately 85 percent of urinary tract infections in children. Renal pare...
What are the effects of treatment for acute UTI in children? What are the effects of interventions to prevent recurrence of UTI in children?
Recurrent urinary tract infections, presenting as dysuria or irritative voiding symptoms, are most commonly caused by reinfection with the original bacterial isolate in young, otherwise healthy women with no anatomic or functional abnormalities of the urinary tract. Frequency of sexual intercourse i...