Is it time to change how I diagnose, treat, and manage young children with urinary tract infections?

[摘要] > You are asked by the emergency department of your community hospital to admit a 3-month-old girl with fever to 39°C with no apparent source. You know that urinary tract infection is high on the differential diagnosis. You have notes from your residency mentor’s urinary tract infection lecture on the subject. Is there any new evidence on diagnosis of urinary tract infection (UTI)? How about on management and follow-up? Is it time to throw away your notes on the subject from your residency?Yes. Yes. And, probably yes. UTI is a common diagnosis in pediatrics, one with a rich history of protocolized management, much of it without a basis in evidence. In 1999, the American Academy of Pediatrics (AAP) published a practice parameter summarizing the state-of-the art in diagnosis and management of UTIs in 2- to 24-month-old children.1 Since then, there has been a steady stream of studies, large and small, adding to the body of evidence, some challenging previous and often …

[学科分类] 儿科学

[关键词] Campylobacter;proljev;dob