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Journal of Education, Health and Sport

Urinary tract infections in children - a review
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  3. Vol. 12 No. 9 (2022) /
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Urinary tract infections in children - a review

Authors

  • Dominika Wojtachnio University Clinical Center, Medical University of Warsaw , 02-097 Warsaw Poland https://orcid.org/0000-0002-1536-8268
  • Aleksandra Osiejewska University Clinical Center, MedicalUniversity of Warsaw, 02-097, Warsaw, Poland https://orcid.org/0000-0002-1729-9905
  • Jakub Bartoszewicz University Clinical Center, Medical University of Warsaw, 02-097, Warsaw, Poland https://orcid.org/0000-0003-1775-5648
  • Anna Grądzik University Clinical Center, Medical University of Warsaw, 02-097, Warsaw, Poland https://orcid.org/0000-0002-8457-5172
  • Izabela Nowakowska Wolski Hospital Dr. Anna Gostyńska, 01-2011, Warsaw, Poland https://orcid.org/0000-0002-3729-3359
  • Małgorzata Kudan Central Clinical Hospital of the Ministry of Interior and Administration, 02-507, Warsaw, Poland https://orcid.org/0000-0001-6463-6735
  • Anna Gorajek Central Clinical Hospital of the Ministry of Interior and Administration, 02-507, Warsaw, Poland https://orcid.org/0000-0002-8043-2246
  • Karolina Mikut Collegium Medicum Nicolaus Copernicus University, 85-067, Toruń, Poland https://orcid.org/0000-0001-7022-581X

DOI:

https://doi.org/10.12775/JEHS.2022.12.09.091

Keywords

urinary tract infection, uti, Escherichia coli, Pyelonephritis, antibiotic treatment, nephrology

Abstract

Introduction and purpose:

Urinary tract infection (UTI) is very common, mostly bacterial infection in childhood. UTI may affect the lower urinary tract or the upper urinary tract. Infection typically require antibiotics for treatment. 

Brief description of the state of knowledge:  

The prevalence of urinary tract infection is between 2 and 8% and it is more common in  female, infants and uncircumcised male infants. Most paediatric UTIs are caused by Gram negative bacteria Escherichia coli (E.coli). Symptoms of this infection are nonspecific and may be confused with signs of other clinical conditions. The most common symptoms are suprapubic pain, back pain, dysuria, urinary frequency and systemic symptoms such as fever, vomiting, lethargy.  Antibiotics are the standard treatment for urinary tract infections. 

Conclusion: 

This article reviews basic informations, epidemiology, clinical presentation, diagnosis and treatment of urinary tract infection.

References

Zalecenia Polskiego Towarzystwa Nefrologii Dziecięcej (PTNFD) dot. postępowania z dzieckiem z zakażeniem układu moczowego, Forum Medycyny Rodzinnej 2016, tom 10, nr 4, str. 159–178

Hellstrom A., Hanson E., Hansson S., et al.: Association between urinary symptoms at 7 years old and previous urinary tract infection. Arch. Dis. Child., 1991; 66: 232–234

Slater M., Krug S.E.: Evaluation of the infant with fever without source: an evidence based approach. Emerg. Med. Clin. North Am., 1999; 17: 97–126

Hryniewicz W, Holecki M (ed). Rekomendacje diagnostyki, terapii i profilaktyki zakażeń układu moczowego u dorosłych. Narodowy Instytut Leków, Warszawa 2015.

Kaufman J, Temple-Smith M, Sanci L. Urinary tract infections in children: an overview of diagnosis and management. BMJ Paediatr Open. 2019 Sep 24;3(1):e000487. doi: 10.1136/bmjpo-2019-000487. PMID: 31646191; PMCID: PMC6782125.

Smellie JM, Poulton A, Prescod NP. Retrospective study of children with renal scarring associated with reflux and urinary infection. BMJ. 1994 May 7;308(6938):1193-6. doi: 10.1136/bmj.308.6938.1193. PMID: 8180534; PMCID: PMC2540053.

Craig J.C., Irwig L.M., Knight J.F., et al.: Symptomatic urinary tract infection in preschool Australian children. J. Paediatr. Child Health, 1998; 34: 154–159.

Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D. Prevalence of urinary tract infection in febrile infants. J Pediatr. 1993 Jul;123(1):17-23. doi: 10.1016/s0022-3476(05)81531-8. PMID: 8320616.

Shaikh N, Morone NE, Bost JE i wsp. Prevalence of urinary tract infection in childhood: a meta-analysis. Pediatr Infect Dis J. 2008; 27(4): 302-308.

Schlager TA, Whittam TS, Hendley JO, Hollis RJ, Pfaller MA, Wilson RA, Stapleton A. Comparison of expression of virulence factors by Escherichia coli causing cystitis and E. coli colonizing the periurethra of healthy girls. J Infect Dis. 1995 Sep;172(3):772-7. doi: 10.1093/infdis/172.3.772. PMID: 7658071.

White B. Diagnosis and treatment of urinary tract infections in children. Am Fam Physician. 2011 Feb 15;83(4):409-15. PMID: 21322515.

Leung AKC, Wong AHC, Leung AAM, Hon KL. Urinary Tract Infection in Children. Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):2-18. doi: 10.2174/1872213X13666181228154940. PMID: 30592257; PMCID: PMC6751349.

Finnell SM, Carroll AE, Downs SM; Subcommittee on Urinary Tract Infection. Technical report—Diagnosis and management of an initial UTI in febrile infants and young children. Pediatrics. 2011 Sep;128(3):e749-70. doi: 10.1542/peds.2011-1332. Epub 2011 Aug 28. PMID: 21873694.

American Academy of Pediatrics, Committee on Quality Improvement: Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. American Academy of Pediatrics. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Pediatrics, 1999; 103: 843–852

National Institute for Health and Care Excellence. Urinary tract infection in under 16s: diagnosis and management. https://www.nice.org.uk/guidance/cg54.

Roberts KB. Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics. 2011; 128(3): 595-610.

Robson W.L., Leung A.K., Boag G.S. Common pediatric urological disorders: Clinical and radiological evaluation. Can. Fam. Physician. 1991;37:889–900.

Keren R, Shaikh N, Pohl H, et al.. Risk factors for recurrent urinary tract infection and renal scarring. Pediatrics 2015;136:e13–21. 10.1542/peds.2015-0409

Gondim R., Azevedo R., Braga A.A.N.M., Veiga M.L., Barroso U., Jr Risk factors for urinary tract infection in children with urinary urgency. Int. Braz J Urol. 2018;44(2):378–383

't Hoen LA, Bogaert G, Radmayr C, Dogan HS, Nijman RJM, Quaedackers J, Rawashdeh YF, Silay MS, Tekgul S, Bhatt NR, Stein R. Update of the EAU/ESPU guidelines on urinary tract infections in children. J Pediatr Urol. 2021 Apr;17(2):200-207. doi: 10.1016/j.jpurol.2021.01.037. Epub 2021 Feb 2. Erratum in: J Pediatr Urol. 2021 Aug;17(4):598. PMID: 33589366.

Schmidt B, Copp HL. Work-up of Pediatric Urinary Tract Infection. Urol Clin North Am. 2015 Nov;42(4):519-26. doi: 10.1016/j.ucl.2015.05.011. Epub 2015 Aug 4. PMID: 26475948; PMCID: PMC4914380.

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Published

2022-09-14

How to Cite

1.
WOJTACHNIO, Dominika, OSIEJEWSKA, Aleksandra, BARTOSZEWICZ, Jakub, GRĄDZIK, Anna, NOWAKOWSKA, Izabela, KUDAN, Małgorzata, GORAJEK, Anna and MIKUT, Karolina. Urinary tract infections in children - a review. Journal of Education, Health and Sport. Online. 14 September 2022. Vol. 12, no. 9, pp. 773-782. [Accessed 18 May 2025]. DOI 10.12775/JEHS.2022.12.09.091.
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Vol. 12 No. 9 (2022)

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Review Articles

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Copyright (c) 2022 Dominika Wojtachnio, Aleksandra Osiejewska, Jakub Bartoszewicz, Anna Grądzik, Izabela Nowakowska, Małgorzata Kudan, Anna Gorajek, Karolina Mikut

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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