[Urinary tract infections in infants: medical management].
The risks of acute pyelonephritis in infants concern microbial invasion and parenchymal damage. There is a high rate of septicemia and of urinary malformations in children under 1 yr of age; in addition, the kidney is a growing organ with a high risk of scarring. Such parenchymal injury may lead to arterial hypertension, and renal failure when bilateral. Vesicoureteric reflux must be evaluated by ultrasound and cystogram; long-term renal scarring needs to be assessed by scintigraphy or pyelography when children are 7 yr old. Short- and long-term risks could be limited by early intravenous biantibiotherapy.
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Unité de néphrologie pédiatrique, hôpital Edouard-Herriot, Lyon, France.
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D000208:Acute Disease; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D011379:Prognosis; D011704:Pyelonephritis / Q000175:diagnosis / Q000188:drug therapy; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis
D000900:Anti-Bacterial Agents
L'infection urinaire du nourrisson: aspects médicaux.