Treatment for Urinary Tract Infection of Children in Korea.
- Author:
Hee Gyung KANG
1
;
Kwang Myung KIM
;
Hae Il CHEONG
;
Hwang CHOI
;
Yong CHOI
Author Information
1. Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
diagnosis;
treatment;
evaluation;
prevention;
vesicoureteral reflux
- MeSH:
Anti-Bacterial Agents;
Bacteriuria;
Child*;
Circumcision, Male;
Diagnosis;
Female;
Humans;
Infant;
Kidney;
Korea*;
Male;
Mass Screening;
Pyuria;
Surveys and Questionnaires;
Radionuclide Imaging;
Siblings;
Succimer;
Ultrasonography;
Urinary Tract Infections*;
Urinary Tract*;
Vesico-Ureteral Reflux
- From:Journal of the Korean Society of Pediatric Nephrology
2001;5(1):15-21
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE : Urinary tract infections (UTIs) of children require prompt and correct diagnosis and treatment to reduce the risk of renal damage. As a first step to improve the outcome of UTI in Korea, we investigated the practical variations in the methods of diagnosis, treatment, and evaluation of children with UTI and UTI prevention. METHOD : A questionnaire related to the individual policy on UTI diagnosis, treatment, imaging test, and prevention was submitted to 26 experts. RESULT : Majority of the experts used bag-collected urine specimen for infants and mid-stream urine specimen for children for urinary culture. With a negative result of culture study, they diagnosed UTI when there was pyuria, positive results of the nitrite test, or bacteriuria. 80 % of experts prescribed prophylactic antibiotics after upper tract UTI. Operative treatment of vesicoureteral reflux (VUR) was indicated for children older than one or two years old with high-grade VUR, refractory breakthrough infections, or recurrent UTIs. Most of them performed kidney ultrasonography on the diagnosis of UTI and more than half of them evaluated children treated of UTI with vesicocystourethrogram and/or DMSA scintigraphy. Majority did not recommend circumcision. Half of the experts were screening siblings of VUR patients. CONCLUSION : Considering the variations exposed through this study, systematic guidelines for management of children with UTI in Korea would be necessary.
