Buettcher, Michael Trueck, Johannes Niederer-Loher, Anita Heininger, Ulrich Agyeman, Philipp Asner, Sandra Berger, Christoph Bielicki, Julia Kahlert, Christian Kottanattu, Lisa Meyer Sauteur, Patrick M. Paioni, Paolo Posfay-Barbe, Klara Relly, Christa Ritz, Nicole Zimmermann, Petra Zucol, Franziska Gobet, Rita Shavit, Sandra Rudin, Christoph Laube, Guido von Vigier, Rodo Neuhaus, Thomas J. 2020-07-03 The kidneys and the urinary tract are a common source of infection in children of all ages, especially infants and young children. The main risk factors for sequelae after urinary tract infections (UTI) are congenital anomalies of the kidney and urinary tract (CAKUT) and bladder-bowel dysfunction. UTI should be considered in every child with fever without a source. The differentiation between upper and lower UTI is crucial for appropriate management. Method of urine collection should be based on age and risk factors. The diagnosis of UTI requires urine analysis and significant growth of a pathogen in culture. Treatment of UTI should be based on practical considerations regarding age and presentation with adjustment of the initial antimicrobial treatment according to antimicrobial sensitivity testing. All children, regardless of age, should have an ultrasound of the urinary tract performed after pyelonephritis. In general, antibiotic prophylaxis is not recommended.Conclusion: Based on recent data and in line with international guidelines, multidisciplinary Swiss consensus recommendations were developed by members of Swiss pediatric infectious diseases, nephrology, and urology societies giving the clinician clear recommendations in regard to diagnosis, type and duration of therapy, antimicrobial treatment options, indication for imaging, and antibiotic prophylaxis. application/pdf https://folia.unifr.ch/global/documents/309035 https://folia.unifr.ch/documents/309035/files/zim_scr.pdf https://folia.unifr.ch/documents/309035/files/zim_scr_corr.pdf eng info:eu-repo/semantics/altIdentifier/doi/10.1007/s00431-020-03714-4 info:eu-repo/semantics/openAccess License undefined European Journal of Pediatrics. - 2020, vol. 180, no. 3, p. 663-674 info:eu-repo/classification/udc/61 Swiss consensus recommendations on urinary tract infections in children http://purl.org/coar/resource_type/c_6501