Actualización de la guía de práctica clínica española sobre infección del tracto urinario en la población pediátrica. Síntesis de las recomendaciones sobre diagnóstico, tratamiento y seguimiento

Abstract

The management of urinary tract infection in infants and children has changed significantly over the past few decades based on scientific evidence that questioned the efficacy of strategies used to prevent kidney injury and subsequent progression to chronic kidney disease, which is very unlikely in most paediatric cases. However, there is still substantial heterogeneity in its management and uncertainty regarding the diagnosis, indication of imaging tests, treatment or followup in these patients. The Spanish clinical practice guideline has been updated through the review of the literature published since 2009 and a rigorous evaluation of current clinical practice aspects, considering the evidence on the benefits of each intervention in addition to its risks and drawbacks to attempt to provide more precise recommendations.