urinary%20tract%20infection%20(pediatric)
URINARY TRACT INFECTION (PEDIATRIC)
Nonspecific urinary tract infection symptoms in infants <3 months are fever, feeding difficulties, vomiting, lethargy, irritability and failure to thrive.
Toddlers and preschoolers have unusual odor of urine, abdominal or flank pain, frequency, dysuria, and urgency.
School-age children have the classical symptoms of fever, frequency, urgency and dysuria.
Consider UTI in all seriously ill children even when there is evidence of infection outside the urinary tract.
  1. Alper BS, Curry SH. Urinary tract infection in children. Am Fam Physician. 2005 Dec;72(12):2483-2488. PMID: 16370404
  2. UTI Guideline Team, Cincinnati Children’s Hospital Medical Center. Evidence-based care guideline for medical management of first urinary tract infection in children 12 years of age or less. Guideline 7. 2006 Nov:1-23
  3. Zorc JJ, Kiddoo DA, Shaw KN. Diagnosis and management of pediatric urinary tract infections. Clin Microbiol Rev. 2005 Apr;18(2):417-422. PMID: 15831830
  4. Bauer R, Kogan BA. New developments in the diagnosis & management of pediatric UTIs. Urol Clin North Am. 2008 Feb;35(1):47-58. PMID: 18061023
  5. Chang SL, Shortliffe LD. Pediatric urinary tract infections. Pediatr Clin North Am. 2006 Jun;53(3):379-400. PMID: 16716786
  6. Elder JS. Urinary tract infections. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of Pediatrics. 18th ed. Philadelphia: Saunders, Elsevier; 2007
  7. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  8. Grabe M, Bjerklund-Johansen TE, Botto M, et al; European Association of Urology. Guidelines on urological infections. http://www.imop.gr/sites/default/files/18_urological_infections_lr.pdf. Mar 2013. Accessed 30 May 2012
  9. National Collaborating Centre for Women’s and Children’s Health commissioned by the National Institute for Health and Clinical Excellence. Urinary tract infection in children: diagnosis, treatment and long-term management. http://www.scribd.com/doc/138483508/Urinary-tract-infection-in-children-National-Collaborating-Centre-for-Women%E2%80%99s-and-Children%E2%80%99s-Health. Aug 2007.
  10. Child Health Network. Management of urinary tract infections in children practice guideline. http://www.childhealthnetwork.com/chn/pdfsGuidelines%20 &%20Transfer%20Protocols%20%20%20Management%20of%20Urinary%20Tract%20Infections%20in%20Children%20%20June%202002.pdf
  11. Newman TB. The new American Academy of Pediatrics urinary tract infection guideline. Pediatrics. 2011 Sep;128(3):572-575. http://pediatrics.aappublications.org/content/128/3/572.full.pdf. PMID: 21873698
  12. Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, 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 Sep;128(3):595-610. http://pediatrics.aappublications.org/content/128/3/595.full.pdf. PMID: 21873693
  13. Roberts KB. Revised AAP guideline on UTI in febrile infants and young children. Am Fam Physician. 2012 Nov;86(10):940-946. http://www.aafp.org/afp/2012/1115/p940.pdf. PMID: 23157147
  14. Robinson JL, Finlay JC, Lang ME, Bortolussi R; Canadian Paediatric Society, Community Paediatrics Committee, Infectious Diseases and Immunization Committee. Urinary tract infection in infants and children: diagnosis and management. Paediatr Child Health. 2014 Jun;19(6):315-319. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173959/pdf/pch-19-315.pdf. PMID: 25332662
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
4 days ago
Blood pressure (BP) in children is influenced by early-life exposure to several chemicals, built environment and meteorological factors, suggests a study.
Jairia Dela Cruz, 06 Sep 2019
Low-dose dexamethasone and prednisolone are equally effective in the treatment of croup in children, according to data from the Topdog* trial.
4 days ago
Early brain injury and at least one sensorimotor immaturity precede cerebral palsy (CP) in very preterm infants and may be considered as reliable predictors, a recent study has found.
Jairia Dela Cruz, 04 Sep 2019
Parenteral antibiotic therapy duration for bacteraemic urinary tract infection (UTI) in young infants may be safely shortened, according to a recent study showing that recurrence and readmission or emergency department revisitation rates are comparable between a ≤7-day and a longer therapy course.