Misselwitz J, Handrick W
Universitäts-Kinderklinik "Jussuf Ibrahim", Bereiches Medizin der Friedrich-Schiller-Universität Jena.
Kinderarztl Prax. 1991 Mar;59(3):64-7.
The prevention of pyelonephritic scarring is the main aim of the treatment of urinary tract infections (UTI) in children. Therefore, an early diagnosis and an immediate and effective antibiotic therapy of acute pyelonephritis is necessary, especially in the first years of life. Furthermore, recurrences of UTI should be prevented in children at high risk of developing renal scarring (vesicoureteric reflux, obstruction of the urinary tract, injured kidneys, bladder dysfunction). In the present paper recommendations are given for antibiotic therapy of acute UTI, antibacterial prophylaxis of reinfections and treatment of bladder dysfunctions.
预防肾盂瘢痕形成是儿童尿路感染（UTI）治疗的主要目标。因此，对急性肾盂肾炎进行早期诊断并立即给予有效的抗生素治疗很有必要，尤其是在生命的最初几年。此外，对于有发生肾瘢痕形成高风险的儿童（膀胱输尿管反流、尿路梗阻、肾损伤、膀胱功能障碍），应预防UTI复发。本文给出了急性UTI抗生素治疗、再感染抗菌预防及膀胱功能障碍治疗的建议。
