| Guidelines for childhood urinary tract infection |
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Seung Joo Lee |
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Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea |
| 소아 요로감염의 임상 지침 |
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이승주 |
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이화여자대학교 의학전문대학원 소아과학교실 |
Correspondence:
Seung Joo Lee, Email: sjoolee@ewha.ac.kr
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| Abstract |
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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. |
| Key Words:
Childhood urinary tract infection, Guideline |
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