Swiss consensus recommendations on urinary tract infections in children

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.

doi:10.1007/s00431-020-03714-4

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Swiss consensus recommendations on urinary tract infections in children

Buettcher, Michael Paediatric Infectious Diseases, Lucerne Children’s Hospital, Cantonal Hospital Lucerne, Spitalstrasse, 6000, Luzern 16, Switzerland
Trueck, Johannes Division of Infectious Diseases and Hospital Epidemiology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Niederer-Loher, Anita Infectious Diseases and Hospital Epidemiology, Children’s Hospital of Eastern Switzerland, Claudiusstrasse 6, 9006 St. Gallen, Switzerland
Heininger, Ulrich Paediatric Infectious Diseases, University of Basel Children’s Hospital, Spitalstrasse 33, 4056, Basel, Switzerland
Agyeman, Philipp Department of Pediatric Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 15, 3010 Bern, Switzerland
Asner, Sandra Pediatric Infectious Diseases and Vaccinology Unit, Department Mother-Woman-Child, Lausanne University Hospital, Lausanne, Switzerland
Berger, Christoph Division of Infectious Diseases and Hospital Epidemiology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Bielicki, Julia Paediatric Infectious Diseases, University of Basel Children’s Hospital, Spitalstrasse 33, 4056, Basel, Switzerland
Kahlert, Christian Infectious Diseases and Hospital Epidemiology, Children’s Hospital of Eastern Switzerland, Claudiusstrasse 6, 9006 St. Gallen, Switzerland
Kottanattu, Lisa Pediatric Infectious Diseases, Pediatric Institute of Southern Switzerland, Ospedale Regionale di Bellinzona e Valli, Via Ospedale 12, 6500 Bellinzona, Switzerland
Meyer Sauteur, Patrick M. Division of Infectious Diseases and Hospital Epidemiology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Paioni, Paolo Division of Infectious Diseases and Hospital Epidemiology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Posfay-Barbe, Klara General Pediatrics & Pediatric Infectious Diseases Unit, Department of Woman, Child and Adolescent, University Hospitals of Geneva & Medical School of Geneva, 6, rue Willy-Donzé, 1211 Geneva 14, Switzerland
Relly, Christa Division of Infectious Diseases and Hospital Epidemiology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Ritz, Nicole Paediatric Infectious Diseases, University of Basel Children’s Hospital, Spitalstrasse 33, 4056, Basel, Switzerland
Zimmermann, Petra Department of Paediatrics, Fribourg Hospital HFR and Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland
Zucol, Franziska Paediatric Infectious Diseases, Department of Paediatrics, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401 Winterthur, Switzerland
Gobet, Rita Paediatric Urology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
Shavit, Sandra Paediatric Surgery, Lucerne Children’s Hospital, Cantonal Hospital Lucerne, Spitalstrasse, 6000 Luzern 16, Switzerland
Rudin, Christoph Pediatric Nephrology, University Children’s Hospital Basel, Spitalstrasse 33, CH-4031 Basel, Switzerland
Laube, Guido Pediatric Nephrology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland
von Vigier, Rodo Pediatric Clinic, Wildermeth Children’s Hospital, Kloosweg 84, 2502 Biel-Bienne, Switzerland
Neuhaus, Thomas J. Paediatrics, Lucerne Children’s Hospital, Cantonal Hospital Lucerne, Spitalstrasse, 6000 Luzern 16, Switzerland

03.07.2020

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European Journal of Pediatrics. - 2020, vol. 180, no. 3, p. 663-674

English 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.

Faculty

Faculté des sciences et de médecine

Department

Master en médecine

Language