[Comments on problems of the antibiotic therapy of urinary tract infections in children (author's transl)].
Basic principles of the antibiotic therapy of urinary tract infections in children are discussed with reference to the literature and own recent publications. In the field of pediatrics there seems to be no justification for a short-term therapy of so-called uncomplicated urinary tract infections as for example cystourethritis as has been propagated for adults because of the lack of reliable criteria to differentiate between infections of the upper or lower urinary tract. Only exception to this is the long-known cystourethritis of the young girl without previous renal disease. For some patients there is no doubt the chance of a spontaneous recovery from an acute pyelonephritis; nevertheless, each urinary tract infection in children should be treated properly since there is always the chance that an acute infections becomes chronic due to a therapy which was unspecific, too short, and without later check-ups. There is no alternative to the individually planned prophylaxis of reinfection in chronic pyelonephritis, including regular check-ups over a long period.
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006801:Humans; D009582:Nitrofurantoin / Q000627:therapeutic use; D011704:Pyelonephritis / Q000188:drug therapy / Q000517:prevention & control; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use; D014552:Urinary Tract Infections / Q000188:drug therapy*
D009582:Nitrofurantoin; D014295:Trimethoprim; D013420:Sulfamethoxazole
Anmerkungen zu aktuellen Problemen der antibakteriellen Therapie von Harnwegisinfektionen des Kindes.