[Urosepsis in Children].

[Urosepsis in Children].
Aktuelle Urol. 2017 Jun 21;:
Authors: Oswald J
Abstract
Urinary tract infections (UTI) are the most common infectious diseases in children. Urosepsis in childhood, though rare, is the most complicated possible variant. In newborns and infants, unspecific symptoms are a significant barrier to a fast and reliable diagnosis, which is crucial to successful treatment. In addition to urine and laboratory tests as well as non-invasive examinations (ultrasound), there may be an indication for invasive examinations of the kidneys (DMSA scans) in cases of a severe infection. Conservative therapy consists of targeted parenteral antibiotic treatment and paediatric sepsis management. Surgical desobstruction and urinary diversion are indicated if conservative therapy has failed. In addition to catheterised drainage of the upper and lower urinary tract, open surgery techniques are used in due consideration of the child and situation. Also, causal factors such as congenital malformations of the urinary system leading to impaired urinary drainage (vesicoureteral reflux, obstruction) have to be evaluated and treated.
PMID: 28637056 [PubMed - as supplied by publisher]

Source: Aktuelle Urologie - June 21, 2017 Category: Urology & Nephrology Authors: Oswald J Tags: Aktuelle Urol Source Type: research