title: Conservative management of paediatric renal abscess.
abstract: OBJECTIVE
  Renal abscesses in the paediatric patient population are a rare entity. Patients are usually treated with percutaneous surgical drainage of the renal abscess as conservative treatment with broad-spectrum antibiotics is not considered as effective. We describe the conservative management of renal abscesses without percutaneous drainage in 6 children.
  
  
  METHODS
  Six patients with a median age of 31 months, admitted over a 6 year period at two medical centers, were retrospectively studied. All patients were treated conservatively.
  
  
  RESULTS
  In all patients, the abscesses were solitary, unilateral and located in the right kidney. The median abscess diameter was 38 mm. The diagnosis was made by ultrasonography. All 6 children were treated conservatively with a urinary catheter or suprapubic catheter and broad-spectrum antibiotics. None of the renal abscesses were surgically or percutaneously drained.
  
  
  CONCLUSIONS
  A series of 6 paediatric renal abscesses, all successfully treated without surgical intervention, is presented. We believe that, in carefully selected cases, renal abscesses can be managed without percutaneous drainage. Furthermore, all children had complete resolution of the abscess.
authors.affiliation: Department of Urology, Central Hospital of Bolzano, Bolzano (BZ), Italy. Electronic address: complojevi94@yahoo.de.
authors.forename: Evi
authors.initials: E
authors.lastname: Comploj
authors.forename: Walburga
authors.initials: W
authors.lastname: Cassar
authors.forename: Alessandra
authors.initials: A
authors.lastname: Farina
authors.forename: Paolo
authors.initials: P
authors.lastname: Gasparella
authors.forename: Emanuela
authors.initials: E
authors.lastname: Trenti
authors.forename: Salvatore
authors.initials: S
authors.lastname: Palermo
authors.forename: Christopher Burr
authors.initials: CB
authors.lastname: Dechet
authors.forename: Paolo
authors.initials: P
authors.lastname: Caione
authors.forename: Armin
authors.initials: A
authors.lastname: Pycha
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Conservative management; Kidney abscess; Paediatric renal abscess