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How Swedish guidelines on urinary tract infections in children compare to Canadian, American and European guidelines
Author(s) -
Brandström Per,
Lindén Magnus
Publication year - 2021
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15727
Subject(s) - medicine , urinalysis , urinary system , urine , antibiotics , sampling (signal processing) , intensive care medicine , guideline , pediatrics , pathology , filter (signal processing) , computer science , microbiology and biotechnology , computer vision , biology
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.