Pediatr. praxi. 2012;13(4):244-246

Acute pyelonephritis in children up to two years of age

MUDr.Jana Zamboryová¹, MUDr.Eva Sládková¹, RNDr.Ing.František Šefrna², MUDr.Eliška Polcarová³, MUDr.Ing.Konrad Siala, Ph.D.¹, doc.MUDr.Jiří Kobr, Ph.D.¹

¹ Dětská klinika LF UK a FN v Plzni

² Oddělení zdravotního účtování a statistiky

³ Psychiatrická léčebna v Dobřanech

Acute pyelonephritis is an infection of the upper urinary tract. Urinary tract infections (UTI) are some of the most frequent diseases of

childhood. Acute pyelonephritis is defined as a bacterial interstitial inflammation of the renal parenchyma, and represents a high risk

of permanent renal damage with a potential for developing further complications. It is often difficult to distinguish cystitis from pyelonephritis

on the grounds of clinical symptoms especially in children up to two years of age. Thus it is important to consider carefully

every febrile child for the presence of UTI. Should acute pyelonephritis be suspected, the patient is to be hospitalized and appropriate

therapy commenced. There are no known uniform guidelines for a definitive approach to UTI. Criteria for diagnosis and treatment differ

among countries.

Keywords: urinary tract infection (UTI), acute pyelonephritis, renal scarring

Published: August 24, 2012  Show citation