Practice
Urinary tract infection in children
Alexandra Hudson, Rodrigo L.P. Romao and Dawn MacLellan
CMAJ April 24, 2017 189 (16) E608; DOI: https://doi.org/10.1503/cmaj.160656
Alexandra Hudson
Dalhousie Medical School (Hudson); Departments of Surgery and Urology (Romao), and of Urology and Pathology (MacLellan), Faculty of Medicine, Dalhousie University, Halifax, NS
HBScRodrigo L.P. Romao
Dalhousie Medical School (Hudson); Departments of Surgery and Urology (Romao), and of Urology and Pathology (MacLellan), Faculty of Medicine, Dalhousie University, Halifax, NS
MDDawn MacLellan
Dalhousie Medical School (Hudson); Departments of Surgery and Urology (Romao), and of Urology and Pathology (MacLellan), Faculty of Medicine, Dalhousie University, Halifax, NS
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Urinary tract infection in children
Alexandra Hudson, Rodrigo L.P. Romao, Dawn MacLellan
CMAJ Apr 2017, 189 (16) E608; DOI: 10.1503/cmaj.160656
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- Children with urinary tract infection usually present with nonspecific signs and symptoms
- The gold standard for diagnosis in children is positive test results for both urinalysis and urine culture
- Urine collection in children who are not toilet-trained requires urethral catheterization or suprapubic aspirate (uncommon)
- Anatomic abnormalities should be ruled out in children less than two years of age after their first urinary tract infection with fever4
- Bowel and bladder dysfunction can contribute to urinary tract infection in children
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