Dept of Paediatrics, Institute of Medical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Acta Paediatr. 2021 Jun;110(6):1759-1771. doi: 10.1111/apa.15727. Epub 2020 Dec 31.
Urinary tract infections (UTI) are common in children and the guidelines focus on preventing kidney damage. We compared the 2013 national Swedish guidelines on UTIs in children with the guidelines from America, Canada, UK, Spain, Italy and European urologists. This showed that urinalysis and urine cultures are endorsed by all the guidelines, but sampling techniques and bacteria levels differ. They all recommend initial oral treatment and renal ultrasound to detect major anomalies in infants. The Swedish guidelines are more liberal on antibiotic prophylaxis. CONCLUSION: Differences in diagnostic criteria, workup and accepted methods for urine sampling were noted and are discussed.
尿路感染（UTI）在儿童中很常见，指南的重点是预防肾脏损伤。我们比较了瑞典全国 2013 年儿童 UTI 指南与美国、加拿大、英国、西班牙、意大利和欧洲泌尿科医生的指南。结果显示，所有指南都推荐进行尿液分析和尿液培养，但采样技术和细菌水平有所不同。所有指南都建议对婴儿进行初始口服治疗和肾脏超声检查，以发现主要异常。瑞典指南在抗生素预防方面更为宽松。结论：本研究指出并讨论了诊断标准、检查方法和尿液采样方法的差异。
