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Pediatria pre prax 4/2006
SOME ASPECTS IN DIAGNOSTIC AND TREATMENT OF ACUTE PYELONEPHRITIS
Urinary tract infection in infants admonish to close attention for the opportunity of permanent kidney damage. Essential for diagnosis of acute pyelonephritis in sucklings and toddlers is a urine specimen obtained by suprapubic aspiration or transurethral bladder catheterization. The diagnosis of urinary tract infection cannot be etablished by a culture of urine collected in a bag. The strategies for the antibiotic treatment depend on private history, course of current disorder, clinician’s assesment of the illness, laboratory findings and last but not least on children’s ability to peroral intake.
Keywords: urinary tract infection (UTI), suprapubic aspiration (SPA), catheterization of the urinary bladder (CUB), midstream clean-catch urine sample, antibiotic therapy.
