» Articles » PMID: 33341101

How Swedish Guidelines on Urinary Tract Infections in Children Compare to Canadian, American and European Guidelines

Overview
Journal Acta Paediatr
Specialty Pediatrics
Date 2020 Dec 19
PMID 33341101
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Urinary tract infections (UTI) are common in children and the guidelines focus on preventing kidney damage. We compared the 2013 national Swedish guidelines on UTIs in children with the guidelines from America, Canada, UK, Spain, Italy and European urologists. This showed that urinalysis and urine cultures are endorsed by all the guidelines, but sampling techniques and bacteria levels differ. They all recommend initial oral treatment and renal ultrasound to detect major anomalies in infants. The Swedish guidelines are more liberal on antibiotic prophylaxis. CONCLUSION: Differences in diagnostic criteria, workup and accepted methods for urine sampling were noted and are discussed.

Citing Articles

Molecular analysis of acute pyelonephritis-excessive innate and attenuated adaptive immunity.

Ambite I, Chao S, Rosenblad T, Hopkins R, Storm P, Ng Y Life Sci Alliance. 2025; 8(3).

PMID: 40036168 PMC: 11662066. DOI: 10.26508/lsa.202402926.


Urinary Tract Infection in Children: An Up-To-Date Study.

Maringhini S, Alaygut D, Corrado C Biomedicines. 2024; 12(11).

PMID: 39595148 PMC: 11592318. DOI: 10.3390/biomedicines12112582.


Primary vesicoureteral reflux.

Puri P, Friedmacher F, Farrugia M, Sharma S, Esposito C, Mattoo T Nat Rev Dis Primers. 2024; 10(1):75.

PMID: 39389958 DOI: 10.1038/s41572-024-00560-8.


Infant urinary tract infection in Sweden - A national study of current diagnostic procedures, imaging and treatment.

Linden M, Rosenblad T, Rosenborg K, Hansson S, Brandstrom P Pediatr Nephrol. 2024; 39(11):3251-3262.

PMID: 39008116 PMC: 11413111. DOI: 10.1007/s00467-024-06415-4.


Genetic determinants of renal scarring in children with febrile UTI.

Rosenblad T, Linden M, Ambite I, Brandstrom P, Hansson S, Godaly G Pediatr Nephrol. 2024; 39(9):2703-2715.

PMID: 38767678 PMC: 11272715. DOI: 10.1007/s00467-024-06394-6.

References
1.
Linshaw M . Asymptomatic bacteriuria and vesicoureteral reflux in children. Kidney Int. 1996; 50(1):312-29. DOI: 10.1038/ki.1996.317. View

2.
Pylkkanen J, VILSKA J, KOSKIMIES O . Diagnostic value of symptoms and clean-voided urine specimen in childhood urinary tract infection. Acta Paediatr Scand. 1979; 68(3):341-4. DOI: 10.1111/j.1651-2227.1979.tb05017.x. View

3.
KASS E . Bacteriuria and pyelonephritis of pregnancy. Arch Intern Med. 1960; 105:194-8. DOI: 10.1001/archinte.1960.00270140016003. View

4.
Craig J, Simpson J, Williams G, Lowe A, Reynolds G, McTaggart S . Antibiotic prophylaxis and recurrent urinary tract infection in children. N Engl J Med. 2009; 361(18):1748-59. DOI: 10.1056/NEJMoa0902295. View

5.
Swerkersson S, Jodal U, Sixt R, Stokland E, Hansson S . Relationship among vesicoureteral reflux, urinary tract infection and renal damage in children. J Urol. 2007; 178(2):647-51. DOI: 10.1016/j.juro.2007.04.004. View