Document Detail

Urinary tract infection in children.
MedLine Citation:
PMID:  19454098     Owner:  NLM     Status:  In-Data-Review    
INTRODUCTION: Up to 11.3% of girls and 3.6% of boys will have had a urinary tract infection (UTI) by the age of 16, and recurrence of infection is common. Vesicoureteric reflux is identified in up to 40% of children being investigated for a first UTI, and is a risk factor for, but weak predictor of, renal scarring. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatment of acute urinary tract infection in children; and of interventions to prevent recurrence? We searched: Medline, Embase, The Cochrane Library and other important databases up to December 2006 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
RESULTS: We found 27 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: antibiotics (short delays in treatment, immediate empirical, intravenous, longer courses, oral, prolonged delay, prophylactic, single dose); surgical correction of minor functional abnormalities; surgical correction of moderate to severe vesicoureteric reflux.
James Larcombe
Related Documents :
1996038 - Management of acute uncomplicated urinary tract infection in adults.
8124428 - Patient and parent education, office laboratory procedures, and urinary tract infections.
2660778 - Urinary tract infection.
3809068 - Recurrent urinary tract infections in women. pathogenesis and management.
2194268 - Epidemiology and potential methods for prevention of neonatal intestinal viral infections.
4081548 - Soleus muscle adenosine-5'-triphosphate (atp) levels in mastomys natalensis with dipeta...
Publication Detail:
Type:  Journal Article     Date:  2007-07-01
Journal Detail:
Title:  Clinical evidence     Volume:  2007     ISSN:  1752-8526     ISO Abbreviation:  Clin Evid (Online)     Publication Date:  2007  
Date Detail:
Created Date:  2009-05-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101294314     Medline TA:  Clin Evid (Online)     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
NHSE Northern and Yorkshire, Sedgefield, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Infantile colic.
Next Document:  Peripheral arterial disease.