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Guidelines for childhood urinary tract infection

Korean Journal of Pediatrics 2009;52(9):976-983.
Published online September 15, 2009.
Guidelines for childhood urinary tract infection
Seung Joo Lee
Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea
소아 요로감염의 임상 지침
이화여자대학교 의학전문대학원 소아과학교실
Seung Joo Lee, Email: sjoolee@ewha.ac.kr
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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