[Treatment of urinary infection in children].
Urinary tract infection in children includes several and totally different diseases which must be managed according to circumstances. In all cases of acute pyelonephritis the patients must be investigated for abnormalities of urinary tract structures. A strong and prolonged treatment reduces the risk of scars. Lower urinary tract infection without potential deleterious effects on the renal parenchyma requires an oral antimicrobial therapy of not more than 7 days duration. Asymptomatic infection with normal urinary tract structures does not need an antimicrobial treatment. Long-term prophylactic antimicrobial treatment administered in full doses produces bacterial selection. Very low doses are sufficient to reduce the virulence of the pathogen and the risk of infection, without altering the gastrointestinal flora.
Bensman
A
A
Service de Néphrologie pédiatrique, Hôpital d'Enfants Armand Trousseau, Paris.
Leroy
B
B
D000208:Acute Disease; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001428:Bacterial Vaccines / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011704:Pyelonephritis / Q000188:drug therapy* / Q000209:etiology; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy* / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D001428:Bacterial Vaccines
Traitement de l'infection urinaire chez l'enfant.