Urinary Tract Infections in Children

Yıl 2009, Cilt: 18 Sayı: 2, 57 - 69, 01.06.2009

Mustafa Taşkesen Aysun Karabay Bayazıt

Öz

Urinary tract infectıons (UTI) are frequent conditions in children. Untreated urinary tract infections can lead to serious kidney problems that could threaten the life of the child. Therefore, early detection and treatment of urinary tract infection is important. In older children, urinary tract infections may cause obvious symptoms such as stomach ache and disuria. In infants and young children, UTIs may be harder to detect because of less specific symptoms. Recurrences are common in children with urinary abnormalities such as neurogenic bladder, vesicourethral reflux or those with very poor toilet and hygiene habits. This article reviews the diagnostic approach and presents the current data related to the roles of radiologic imaging, surgical correction and antibiotic prophylaxis of UTIs in children.

Anahtar Kelimeler

Urinary Tract Infections, Children

Çocuklarda İdrar Yolu Enfeksiyonu

Öz

İdrar yolu enfeksiyonları çocuklarda sık rastlanan bir durumdur. Tedavi edilmeyen idrar yolu enfeksiyonları çocuğun hayatını tehdit edebilecek boyutta ciddi problemlere neden olabilir. Bu nedenle idrar yolu enfeksiyonlarının tanınması ve erken tedavisi önemlidir. Büyük çocuklarda karın ağrısı, idrar yaparken yanma gibi belirgin bulguları olmasına rağmen, infant ve küçük çocuklarda bulgular özgül olmadığı için tespit etmek zordur. Nörojenik mesane, vezikoüreteral reflü gibi idrar yolu anomalisi olan çocuklarda veya tuvalet alışkanlığı ve hijyen bozukluğu olan çocuklarda tekrarlara sık rastlanır. Bu makalede idrar yolu enfeksiyonu olan çocuklarda tanısal yaklaşım değerlendirilmekte ve radyolojik incelemeler, cerrahi düzeltme ve antibiyotik profilaksisi ile ilgili son bilgiler gözden geçirilmektedir.

Anahtar Kelimeler

Çocuk, İdrar Yolu Enfeksiyonu

Kaynakça

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