Korbel Lindsey, Howell Marianella, Spencer John David
a Pediatrics Residency Program , Nationwide Children's Hospital , Columbus , OH , USA.
b Department of Pediatrics, Division of Nephrology , Hospital Nacional de Niños , San Jose , Costa Rica.
Paediatr Int Child Health. 2017 Nov;37(4):273-279. doi: 10.1080/20469047.2017.1382046. Epub 2017 Oct 5.
Urinary tract infections (UTI) are one of the most common and serious bacterial infections encountered by paediatricians and primary care physicians. Although the diagnosis and management of UTI appear simplistic, they remain among the most contentious issues in paediatrics. In part, UTI controversies stem from the absence of classic clinical symptoms, inappropriate urine specimen collection, modified urinary tract imaging recommendations, and diverse treatment and prevention strategies. Recently published guidelines and large clinical trials have attempted to clarify UTI diagnostic and management strategies. In this manuscript, we review the diagnosis and management of acute and recurrent UTI in the paediatric and adolescent populations.
尿路感染（UTI）是儿科医生和初级保健医生遇到的最常见且严重的细菌感染之一。尽管尿路感染的诊断和管理看似简单，但它们仍是儿科中最具争议的问题之一。部分原因在于缺乏典型临床症状、尿液标本采集不当、泌尿系统影像学检查建议的改变以及多样的治疗和预防策略。最近发布的指南和大型临床试验试图阐明尿路感染的诊断和管理策略。在本手稿中，我们回顾了儿科和青少年人群急性和复发性尿路感染的诊断和管理。
