Urinary Tract Infections systematic reviews
Review: A critical review of recent clinical practice guidelines for pediatric urinary tract infection
Chua M, Ming J, Chang SJ, Santos JD, Mistry N, Silangcruz JM, Bayley M, Koyle MA
Chua M, Ming J, Chang SJ, Santos JD, Mistry N, Silangcruz JM, Bayley M, Koyle MA
Concerns regarding the quality, credibility, and applicability of recently published pediatric urinary tract infection (UTI) clinical practice guidelines have been raised due to the inconsistencies of recommendations between them. This review aimed to determine the quality of the recent clinical practice guidelines on pediatric UTI by using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument, and summarize the standard of care in diagnosis and management of pediatric UTI from the top three clinical practice guidelines.
Concerns regarding the quality, credibility, and applicability of recently published pediatric urinary tract infection (UTI) clinical practice guidelines have been raised due to the inconsistencies of recommendations between them. This review aimed to determine the quality of the recent clinical practice guidelines on pediatric UTI by using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument, and summarize the standard of care in diagnosis and management of pediatric UTI from the top three clinical practice guidelines.
Review: Urinary tract infection in children
Hudson A, Romao RLP, MacLellan D
Hudson A, Romao RLP, MacLellan D
This review presents summary recommendations for diagnosing urinary tract infection in children.
This review presents summary recommendations for diagnosing urinary tract infection in children.
Review: The clinical diagnosis and management of urinary tract infections in children and adolescents
Korbel L, Howell M, Spencer JD
Korbel L, Howell M, Spencer JD
In this manuscript, the authors review the diagnosis and management of acute and recurrent urinary tract infection in the paediatric and adolescent populations.
In this manuscript, the authors review the diagnosis and management of acute and recurrent urinary tract infection in the paediatric and adolescent populations.
Systematic Review: Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis
Bryce A, Hay AD, Lane IF, Thornton HV, Wootton M, Costelloe C
Bryce A, Hay AD, Lane IF, Thornton HV, Wootton M, Costelloe C
Objectives: To systematically review studies investigating the prevalence of antibiotic resistance in urinary tract infections caused by Escherichia coli in children and, when appropriate, to meta-analyse the relation between previous antibiotics prescribed in primary care and resistance.
Objectives: To systematically review studies investigating the prevalence of antibiotic resistance in urinary tract infections caused by Escherichia coli in children and, when appropriate, to meta-analyse the relation between previous antibiotics prescribed in primary care and resistance.
Review: Diagnosis of Urinary Tract Infections in Children
Doern CD, Richardson SE
Doern CD, Richardson SE
This review discusses the management and laboratory diagnoses of urinary tract infections in children. Important factors, such as specimen collection, urinalysis interpretation, culture thresholds, and antimicrobial susceptibility testing are covered.
This review discusses the management and laboratory diagnoses of urinary tract infections in children. Important factors, such as specimen collection, urinalysis interpretation, culture thresholds, and antimicrobial susceptibility testing are covered.
Cochrane Systematic Review: Probiotics for preventing urinary tract infections in adults and children
Schwenger EM, Tejani AM, Loewen PS
Schwenger EM, Tejani AM, Loewen PS
This systematic review addressed the questions: Compared to placebo or no therapy, did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality, when used to prevent UTI in susceptible patient populations? Compared to other prophylactic interventions, including drug and non-drug measures (e.g. continuous antibiotic prophylaxis, topical oestrogen, cranberry juice), did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality when used to prevent UTIs in susceptible patient populations?
This systematic review addressed the questions: Compared to placebo or no therapy, did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality, when used to prevent UTI in susceptible patient populations? Compared to other prophylactic interventions, including drug and non-drug measures (e.g. continuous antibiotic prophylaxis, topical oestrogen, cranberry juice), did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality when used to prevent UTIs in susceptible patient populations?
Cochrane Systematic Review: Procalcitonin, C-reactive protein, and erythrocyte sedimentation rate for the diagnosis of acute pyelonephritis in children
Shaikh N, Borrell JL, Evron J, Leeflang MM
Shaikh N, Borrell JL, Evron J, Leeflang MM
The objectives of this review were to 1) determine whether procalcitonin, C-reactive protein, erythrocyte sedimentation rate can replace the acute DMSA scan in the diagnostic evaluation of children with urinary tract infections; 2) assess the influence of patient and study characteristics on the diagnostic accuracy of these tests, and 3) compare the performance of the three tests to each other.
The objectives of this review were to 1) determine whether procalcitonin, C-reactive protein, erythrocyte sedimentation rate can replace the acute DMSA scan in the diagnostic evaluation of children with urinary tract infections; 2) assess the influence of patient and study characteristics on the diagnostic accuracy of these tests, and 3) compare the performance of the three tests to each other.
Cochrane Systematic Review: Antibiotics for acute pyelonephritis in children
Strohmeier Y, Hodson EM, Willis NS, Webster AC, Craig JC
Strohmeier Y, Hodson EM, Willis NS, Webster AC, Craig JC
The objectives of this review were to evaluate the benefits and harms of antibiotics used to treat children with acute pyelonephritis. The aspects of therapy considered were 1) different antibiotics, 2) different dosing regimens of the same antibiotic, 3) different duration of treatment, and 4) different routes of administration.
The objectives of this review were to evaluate the benefits and harms of antibiotics used to treat children with acute pyelonephritis. The aspects of therapy considered were 1) different antibiotics, 2) different dosing regimens of the same antibiotic, 3) different duration of treatment, and 4) different routes of administration.
Review: Pediatric urinary tract infection: does the evidence support aggressively pursuing the diagnosis?
Newman DH, Shreves AE, Runde DP
Newman DH, Shreves AE, Runde DP
The authors review both early and emerging literature to examine the utility and efficacy of early identification and treatment of urinary tract infection in children younger than 24 months.
The authors review both early and emerging literature to examine the utility and efficacy of early identification and treatment of urinary tract infection in children younger than 24 months.
Cochrane Systematic Review: Antibiotics for treating lower urinary tract infection in children
Fitzgerald A, Mori R, Lakhanpaul M, Tullus K
Fitzgerald A, Mori R, Lakhanpaul M, Tullus K
This review aims to summarise the benefits and harms of antibiotics for treating lower urinary tract infection in children.
This review aims to summarise the benefits and harms of antibiotics for treating lower urinary tract infection in children.
Systematic Review: Technical reportDiagnosis and management of an initial UTI in febrile infants and young children
Finnell SM, Carroll AE, Downs SM; Subcommittee on Urinary Tract Infection
Finnell SM, Carroll AE, Downs SM; Subcommittee on Urinary Tract Infection
This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection.
This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection.
Systematic Review: Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, Roberts KB
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improv...
The objectives of this review are to revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children.
The objectives of this review are to revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children.
Cochrane Systematic Review: Long-term antibiotics for preventing recurrent urinary tract infection in children
Williams G, Craig JC
Williams G, Craig JC
The objectives of this review are to determine the efficacy and harms of long-term antibiotics to prevent recurrent urinary tract infections in children.
The objectives of this review are to determine the efficacy and harms of long-term antibiotics to prevent recurrent urinary tract infections in children.
Systematic Review: Absolute and relative accuracy of rapid urine tests for urinary tract infection in children: a meta-analysis
Williams GJ, Macaskill P, Chan SF, Turner RM, Hodson E, Craig JC
Williams GJ, Macaskill P, Chan SF, Turner RM, Hodson E, Craig JC
Rapid urine tests, such as microscopy, for bacteria and white cells, and dipsticks, for leucocyte esterase and nitrites, are often used in children that are unwell to guide early diagnosis and treatment of urinary tract infection. This review aimed to establish whether these tests were sufficiently sensitive to avoid urine culture in children with negative results and to compare the accuracy of dipsticks with microscopy.
Rapid urine tests, such as microscopy, for bacteria and white cells, and dipsticks, for leucocyte esterase and nitrites, are often used in children that are unwell to guide early diagnosis and treatment of urinary tract infection. This review aimed to establish whether these tests were sufficiently sensitive to avoid urine culture in children with negative results and to compare the accuracy of dipsticks with microscopy.
Review: Does this child have a urinary tract infection?
Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER
Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, W...
This article reviews the diagnostic accuracy of symptoms and signs for the diagnosis of urinary tract infection in infants and children.
This article reviews the diagnostic accuracy of symptoms and signs for the diagnosis of urinary tract infection in infants and children.
Systematic Review: Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model
Whiting P, Westwood M, Bojke L, Palmer S, Richardson G, Cooper J, Watt I, Glanville J, Sculpher M, Kleijnen J
Whiting P, Westwood M, Bojke L, Palmer S, Richardson G, Cooper J, Watt I, Gla...
The objectives of this systematic review are to determine the diagnostic accuracy of tests for detecting urinary tract infection (UTI) in children under 5 years of age and to evaluate the effectiveness of tests used to investigate further children with confirmed UTI. Also, to evaluate the effectiveness of following up children with UTI and the cost-effectiveness of diagnostic and imaging tests for the diagnosis and follow-up of UTI in children under 5. An additional objective was to develop a preliminary diagnostic algorithm for healthcare professionals.
The objectives of this systematic review are to determine the diagnostic accuracy of tests for detecting urinary tract infection (UTI) in children under 5 years of age and to evaluate the effectiveness of tests used to investigate further children with confirmed UTI. Also, to evaluate the effectiveness of following up children with UTI and the cost-effectiveness of diagnostic and imaging tests for the diagnosis and follow-up of UTI in children under 5. An additional objective was to develop a preliminary diagnostic algorithm for healthcare professionals.
Systematic Review: Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years
Whiting P, Westwood M, Watt I, Cooper J, Kleijnen J
Whiting P, Westwood M, Watt I, Cooper J, Kleijnen J
This systematic review was conducted to determine the diagnostic accuracy of rapid tests for detecting urinary tract infection in children under five years of age.
This systematic review was conducted to determine the diagnostic accuracy of rapid tests for detecting urinary tract infection in children under five years of age.
Cochrane Systematic Review: Short versus standard duration oral antibiotic therapy for acute urinary tract infection in children
Michael M, Hodson EM, Craig JC, Martin S, Moyer VA
Michael M, Hodson EM, Craig JC, Martin S, Moyer VA
The objective of this review was to assess the benefits and harms of short-course (2-4 days) compared to standard duration (7-14 days) oral antibiotic treatment for acute urinary tract infection in children.
The objective of this review was to assess the benefits and harms of short-course (2-4 days) compared to standard duration (7-14 days) oral antibiotic treatment for acute urinary tract infection in children.
Review: A critical review of recent clinical practice guidelines for pediatric urinary tract infection
Chua M, Ming J, Chang SJ, Santos JD, Mistry N, Silangcruz JM, Bayley M, Koyle MA
Chua M, Ming J, Chang SJ, Santos JD, Mistry N, Silangcruz JM, Bayley M, Koyle MA
Concerns regarding the quality, credibility, and applicability of recently published pediatric urinary tract infection (UTI) clinical practice guidelines have been raised due to the inconsistencies of recommendations between them. This review aimed to determine the quality of the recent clinical practice guidelines on pediatric UTI by using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument, and summarize the standard of care in diagnosis and management of pediatric UTI from the top three clinical practice guidelines.
Concerns regarding the quality, credibility, and applicability of recently published pediatric urinary tract infection (UTI) clinical practice guidelines have been raised due to the inconsistencies of recommendations between them. This review aimed to determine the quality of the recent clinical practice guidelines on pediatric UTI by using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument, and summarize the standard of care in diagnosis and management of pediatric UTI from the top three clinical practice guidelines.
Review: Urinary tract infection in children
Hudson A, Romao RLP, MacLellan D
Hudson A, Romao RLP, MacLellan D
This review presents summary recommendations for diagnosing urinary tract infection in children.
This review presents summary recommendations for diagnosing urinary tract infection in children.
Review: The clinical diagnosis and management of urinary tract infections in children and adolescents
Korbel L, Howell M, Spencer JD
Korbel L, Howell M, Spencer JD
In this manuscript, the authors review the diagnosis and management of acute and recurrent urinary tract infection in the paediatric and adolescent populations.
In this manuscript, the authors review the diagnosis and management of acute and recurrent urinary tract infection in the paediatric and adolescent populations.
Systematic Review: Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis
Bryce A, Hay AD, Lane IF, Thornton HV, Wootton M, Costelloe C
Bryce A, Hay AD, Lane IF, Thornton HV, Wootton M, Costelloe C
Objectives: To systematically review studies investigating the prevalence of antibiotic resistance in urinary tract infections caused by Escherichia coli in children and, when appropriate, to meta-analyse the relation between previous antibiotics prescribed in primary care and resistance.
Objectives: To systematically review studies investigating the prevalence of antibiotic resistance in urinary tract infections caused by Escherichia coli in children and, when appropriate, to meta-analyse the relation between previous antibiotics prescribed in primary care and resistance.
Review: Diagnosis of Urinary Tract Infections in Children
Doern CD, Richardson SE
Doern CD, Richardson SE
This review discusses the management and laboratory diagnoses of urinary tract infections in children. Important factors, such as specimen collection, urinalysis interpretation, culture thresholds, and antimicrobial susceptibility testing are covered.
This review discusses the management and laboratory diagnoses of urinary tract infections in children. Important factors, such as specimen collection, urinalysis interpretation, culture thresholds, and antimicrobial susceptibility testing are covered.
Cochrane Systematic Review: Probiotics for preventing urinary tract infections in adults and children
Schwenger EM, Tejani AM, Loewen PS
Schwenger EM, Tejani AM, Loewen PS
This systematic review addressed the questions: Compared to placebo or no therapy, did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality, when used to prevent UTI in susceptible patient populations? Compared to other prophylactic interventions, including drug and non-drug measures (e.g. continuous antibiotic prophylaxis, topical oestrogen, cranberry juice), did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality when used to prevent UTIs in susceptible patient populations?
This systematic review addressed the questions: Compared to placebo or no therapy, did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality, when used to prevent UTI in susceptible patient populations? Compared to other prophylactic interventions, including drug and non-drug measures (e.g. continuous antibiotic prophylaxis, topical oestrogen, cranberry juice), did probiotics (any formulation) provide a therapeutic advantage in terms of morbidity and mortality when used to prevent UTIs in susceptible patient populations?
Cochrane Systematic Review: Procalcitonin, C-reactive protein, and erythrocyte sedimentation rate for the diagnosis of acute pyelonephritis in children
Shaikh N, Borrell JL, Evron J, Leeflang MM
Shaikh N, Borrell JL, Evron J, Leeflang MM
The objectives of this review were to 1) determine whether procalcitonin, C-reactive protein, erythrocyte sedimentation rate can replace the acute DMSA scan in the diagnostic evaluation of children with urinary tract infections; 2) assess the influence of patient and study characteristics on the diagnostic accuracy of these tests, and 3) compare the performance of the three tests to each other.
The objectives of this review were to 1) determine whether procalcitonin, C-reactive protein, erythrocyte sedimentation rate can replace the acute DMSA scan in the diagnostic evaluation of children with urinary tract infections; 2) assess the influence of patient and study characteristics on the diagnostic accuracy of these tests, and 3) compare the performance of the three tests to each other.
Cochrane Systematic Review: Antibiotics for acute pyelonephritis in children
Strohmeier Y, Hodson EM, Willis NS, Webster AC, Craig JC
Strohmeier Y, Hodson EM, Willis NS, Webster AC, Craig JC
The objectives of this review were to evaluate the benefits and harms of antibiotics used to treat children with acute pyelonephritis. The aspects of therapy considered were 1) different antibiotics, 2) different dosing regimens of the same antibiotic, 3) different duration of treatment, and 4) different routes of administration.
The objectives of this review were to evaluate the benefits and harms of antibiotics used to treat children with acute pyelonephritis. The aspects of therapy considered were 1) different antibiotics, 2) different dosing regimens of the same antibiotic, 3) different duration of treatment, and 4) different routes of administration.
Review: Pediatric urinary tract infection: does the evidence support aggressively pursuing the diagnosis?
Newman DH, Shreves AE, Runde DP
Newman DH, Shreves AE, Runde DP
The authors review both early and emerging literature to examine the utility and efficacy of early identification and treatment of urinary tract infection in children younger than 24 months.
The authors review both early and emerging literature to examine the utility and efficacy of early identification and treatment of urinary tract infection in children younger than 24 months.
Cochrane Systematic Review: Antibiotics for treating lower urinary tract infection in children
Fitzgerald A, Mori R, Lakhanpaul M, Tullus K
Fitzgerald A, Mori R, Lakhanpaul M, Tullus K
This review aims to summarise the benefits and harms of antibiotics for treating lower urinary tract infection in children.
This review aims to summarise the benefits and harms of antibiotics for treating lower urinary tract infection in children.
Systematic Review: Technical reportDiagnosis and management of an initial UTI in febrile infants and young children
Finnell SM, Carroll AE, Downs SM; Subcommittee on Urinary Tract Infection
Finnell SM, Carroll AE, Downs SM; Subcommittee on Urinary Tract Infection
This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection.
This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection.
Systematic Review: Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, Roberts KB
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improv...
The objectives of this review are to revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children.
The objectives of this review are to revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections in febrile infants and young children.
Cochrane Systematic Review: Long-term antibiotics for preventing recurrent urinary tract infection in children
Williams G, Craig JC
Williams G, Craig JC
The objectives of this review are to determine the efficacy and harms of long-term antibiotics to prevent recurrent urinary tract infections in children.
The objectives of this review are to determine the efficacy and harms of long-term antibiotics to prevent recurrent urinary tract infections in children.
Systematic Review: Absolute and relative accuracy of rapid urine tests for urinary tract infection in children: a meta-analysis
Williams GJ, Macaskill P, Chan SF, Turner RM, Hodson E, Craig JC
Williams GJ, Macaskill P, Chan SF, Turner RM, Hodson E, Craig JC
Rapid urine tests, such as microscopy, for bacteria and white cells, and dipsticks, for leucocyte esterase and nitrites, are often used in children that are unwell to guide early diagnosis and treatment of urinary tract infection. This review aimed to establish whether these tests were sufficiently sensitive to avoid urine culture in children with negative results and to compare the accuracy of dipsticks with microscopy.
Rapid urine tests, such as microscopy, for bacteria and white cells, and dipsticks, for leucocyte esterase and nitrites, are often used in children that are unwell to guide early diagnosis and treatment of urinary tract infection. This review aimed to establish whether these tests were sufficiently sensitive to avoid urine culture in children with negative results and to compare the accuracy of dipsticks with microscopy.
Review: Does this child have a urinary tract infection?
Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER
Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, W...
This article reviews the diagnostic accuracy of symptoms and signs for the diagnosis of urinary tract infection in infants and children.
This article reviews the diagnostic accuracy of symptoms and signs for the diagnosis of urinary tract infection in infants and children.
Systematic Review: Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model
Whiting P, Westwood M, Bojke L, Palmer S, Richardson G, Cooper J, Watt I, Glanville J, Sculpher M, Kleijnen J
Whiting P, Westwood M, Bojke L, Palmer S, Richardson G, Cooper J, Watt I, Gla...
The objectives of this systematic review are to determine the diagnostic accuracy of tests for detecting urinary tract infection (UTI) in children under 5 years of age and to evaluate the effectiveness of tests used to investigate further children with confirmed UTI. Also, to evaluate the effectiveness of following up children with UTI and the cost-effectiveness of diagnostic and imaging tests for the diagnosis and follow-up of UTI in children under 5. An additional objective was to develop a preliminary diagnostic algorithm for healthcare professionals.
The objectives of this systematic review are to determine the diagnostic accuracy of tests for detecting urinary tract infection (UTI) in children under 5 years of age and to evaluate the effectiveness of tests used to investigate further children with confirmed UTI. Also, to evaluate the effectiveness of following up children with UTI and the cost-effectiveness of diagnostic and imaging tests for the diagnosis and follow-up of UTI in children under 5. An additional objective was to develop a preliminary diagnostic algorithm for healthcare professionals.
Systematic Review: Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years
Whiting P, Westwood M, Watt I, Cooper J, Kleijnen J
Whiting P, Westwood M, Watt I, Cooper J, Kleijnen J
This systematic review was conducted to determine the diagnostic accuracy of rapid tests for detecting urinary tract infection in children under five years of age.
This systematic review was conducted to determine the diagnostic accuracy of rapid tests for detecting urinary tract infection in children under five years of age.
Cochrane Systematic Review: Short versus standard duration oral antibiotic therapy for acute urinary tract infection in children
Michael M, Hodson EM, Craig JC, Martin S, Moyer VA
Michael M, Hodson EM, Craig JC, Martin S, Moyer VA
The objective of this review was to assess the benefits and harms of short-course (2-4 days) compared to standard duration (7-14 days) oral antibiotic treatment for acute urinary tract infection in children.
The objective of this review was to assess the benefits and harms of short-course (2-4 days) compared to standard duration (7-14 days) oral antibiotic treatment for acute urinary tract infection in children.