European Association of Urology (EAU) and the European Society for Paediatric Urology (ESPU)
Update and summary of the EAU/ESPU paediatric guidelines on urinary tract infection in children
Ce document comprend 5 recommandations.
Contenu en anglais
Synthèse
This clinical summary outlines the 2025 EAU/ESPU guideline updates on pediatric urinary tract infections (UTIs). It details diagnostic classifications, urine collection and urinalysis methods, recommendations for renal and bladder ultrasound, targeted antimicrobial selection based on local sensitivity, and various methods for preventing UTI recurrence.
Urinary tract infections (UTIs) are the most common bacterial infections in pediatric cohorts. Escherichia Coli is the primary causative organism, although other pathogens and multi-drug resistant strains are increasingly prevalent.
Messages clés
Urinary tract infections (UTIs) represent the most common bacterial infections in children.
Escherichia Coli (E. Coli) remains the leading causative organism, though other bacteria and multi-drug resistant strains are increasing in prevalence.
Microscopic urinalysis is recommended following a positive dipstick test.
A renal and bladder ultrasound is generally recommended after an initial febrile UTI, with additional investigations tailored based on patient and infection characteristics.
Cornerstone of management is prompt, targeted antimicrobial therapy matched to local sensitivity patterns and adjusted according to sensitivity testing.
Recurrence prevention strategies include chemoprophylaxis, non-antibiotic prophylaxis, and treating underlying conditions like phimosis, bladder-bowel dysfunction, and lower urinary tract dysfunction.
Nouveautés de cette version
The 2025 guidelines update compiles and integrates evidence from a structured literature review covering publications from the previous 2021 update up to February 20, 2024.