title: Issues in febrile urinary tract infection management.
abstract: Urinary tract infections are common occurrences in the pediatric age group and are a cause of significant morbidity and expense. The understanding of the consequences and sequelae of febrile urinary tract infections led to revision of standard protocols initiated by the American Academy of Pediatrics (AAP) in 1999. A less invasive protocol of radiologic evaluation has been the major outcome of the revised AAP guidelines. Emphasis on prevention of recurrent febrile urinary tract infections has also led to therapeutic programs that are centered less around the use of prophylactic antibiotics than has previously been the practice.
authors.affiliation: Division of Pediatric Urology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. martin.koyle@sickkids.ca
authors.forename: Martin A
authors.initials: MA
authors.lastname: Koyle
authors.forename: Donald
authors.initials: D
authors.lastname: Shifrin
mesh_terms: D000465:Algorithms; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D005260:Female; D005334:Fever; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017410:Practice Guidelines as Topic; D012008:Recurrence; D012307:Risk Factors; D016482:Urinalysis; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D014718:Vesico-Ureteral Reflux / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents