Urinary Tract Infections (UTI) Treatment

Urinary Tract Infections (UTI) Treatment

Urinary tract infections (UTI) are a common and important clinical problem in childhood. Upper urinary tract infections (ie, acute pyelonephritis) may lead to renal scarring, hypertension, and end-stage renal dysfunction. Although children with pyelonephritis tend to present with fever, it can be difficult on clinical grounds to distinguish cystitis from pyelonephritis, particularly in young children (those younger than two years).

The Goals of Treatment For UTI

1. Elimination of infection and prevention of urosepsis
2. Relief of acute symptoms (eg, fever, dysuria, frequency)
3. Prevention of recurrence and long-term complications including hypertension, renal scarring, and impaired renal growth and function