MANEJO DE LA INFECCIÓN DEL TRACTO URINARIO EN NIÑOS

Autores/as

  • Lino Arturo Rojas Pérez 1Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur Km 1.5, código postal 060106, Riobamba, Ecuador. 2 Facultad de Salud Pública, Carrera de Promoción para la Salud, Escuela Superior Politécnica de Chimborazo, Panamericana Sur Km 1.5, código postal 060106, Riobamba, Ecuador 3 Facultad de Ciencias de la Salud, Carrera de Medicina, Universidad Nacional de Chimborazo, Avenida Antonio José de Sucre Km 1 1/2 vía a Guano, código postal 060103, Riobamba-Ecuador 4 ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0003-0396-1766
  • Blanca Herminia Cruz Basantes 1Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur Km 1.5, código postal 060106, Riobamba, Ecuador. 4 ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0002-3895-6281
  • Lino Arturo Rojas Cruz 3 Facultad de Ciencias de la Salud, Carrera de Medicina, Universidad Nacional de Chimborazo, Avenida Antonio José de Sucre Km 1 1/2 vía a Guano, código postal 060103, Riobamba-Ecuador. 4 ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0003-3857-6876
  • Augusto Ernesto Rojas Cruz 2 Facultad de Salud Pública, Carrera de Promoción para la Salud, Escuela Superior Politécnica de Chimborazo, Panamericana Sur Km 1.5, código postal 060106, Riobamba, Ecuador. 4 ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0002-6680-2087
  • Andrés Eduardo Rojas Cruz ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0001-9936-6835
  • María Daniela Villagómez Vega ProSalud Medical Center, Jacinto González 1951 y Rey Cacha, Código postal 060101, Riobamba, Ecuador. https://orcid.org/0000-0003-0166-6229

DOI:

https://doi.org/10.47187/cssn.Vol14.IssEd.Esp.234

Palabras clave:

infecciones urinarias, niños, quimioterapia

Resumen

Introducción. La infección del tracto urinario es un problema clínico frecuente y significativo en la población pediátrica. Se clasifican en pielonefritis aguda, cistitis, y bacteriuria asintomática. Objetivo. Identificar el tratamiento más apropiado para las infecciones pediátricas del tracto urinario, de acuerdo con la evidencia científica más reciente y sólida.  Métodos. En el desarrollo de este artículo de revisión no sistemática, se utilizó las bases de datos PubMed, Scopus, DynaMed y UpToDate. En cuanto a los criterios de inclusión, se consideraron los artículos escritos en los últimos cinco años, tanto en idioma inglés como en idioma español, siempre y cuando el texto completo fuera accesible. En esta selección incluyó estudios clínicos, estudios clínicos aleatorizados, revisiones sistemáticas y metaanálisis Resultados. En total, se encontraron 2236 artículos durante todo el proceso de búsqueda de información. De esos 2236, se descartaron 2201 artículos que no cumplían con los criterios de inclusión, y se utilizaron 35 artículos para esta investigación sobre el manejo de la infección del tracto urinario en niños Discusión. La infección del tracto urinario es un problema común en la niñez. Los síntomas clínicos pueden ser inespecíficos en bebés y niños pequeños; no obstante, en niños mayores, los síntomas son más claros e incluyen fiebre, dolor lumbar, dolor suprapúbico, disuria, polaquiuria, entre otros. El diagnóstico confirmatorio se realiza mediante el urocultivo. El tratamiento oportuno disminuye el riesgo de complicaciones posteriores. Conclusiones. Esta revisión proporciona una guía integral para el manejo efectivo de las infecciones del tracto urinario en niños, considerando tanto el diagnóstico preciso como el tratamiento adecuado.

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Citas

Shaikh N, Hoberman A. Urinary tract infections in infants and children older than one month: Clinical features and diagnosis [Internet]. UpToDate. 2021 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/urinary-tract-infections-in-infants-and-children-older-than-one-month-clinical-features-and-diagnosis/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=5~150&usage_type=default&display_ra

Renko M, Salo J, Ekstrand M, Pokka T, Pieviläinen O, Uhari M, et al. Meta-analysis of the Risk Factors for Urinary Tract Infection in Children. Pediatr Infect Dis J [Internet]. 2022 Oct 1 [cited 2023 May 22];41(10):787. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508987/

Shaikh N, Hoberman A. Urinary tract infections in children: Epidemiology and risk factors [Internet]. UpToDate. 2022 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/urinary-tract-infections-in-children-epidemiology-and-risk-factors/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

Shaikh N, Hoberman A. Urinary tract infections in children: Long-term management and prevention [Internet]. UpToDate. 2023 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/urinary-tract-infections-in-children-long-term-management-and-prevention/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4

Shaikh N, Hoberman A. Urinary tract infections in infants older than one month and young children: Acute management, imaging, and prognosis [Internet]. UpToDate. 2022 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/urinary-tract-infections-in-infants-older-than-one-month-and-young-children-acute-management-imaging-and-prognosis/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=1~150&usage_type=defau

Pinzón-Fernández MV, Zúñiga-Cerón LF, Saavedra-Torres JS. Urinary tract infection in children, one of the most prevalent infectious diseases. Rev Fac Med [Internet]. 2018 Jul 1 [cited 2023 May 16];66(3):393–8. Available from: https://www.scopus.com/record/display.uri?eid=2-s2.0-85056188865&origin=resultslist&sort=plf-f&src=s&sid=868ab1ba9b3b45f22aa6963309898d2d&sot=b&sdt=cl&cluster=scosubjabbr%252C%2522MEDI%2522%252Ct%252Bscolang%252C%2522English%2522%252Ct%252C%2522Spanish%25

Palazzi D, Campbell J. Acute infectious cystitis: Clinical features and diagnosis in children older than two years and adolescents [Internet]. UpToDate. 2022 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/acute-infectious-cystitis-clinical-features-and-diagnosis-in-children-older-than-two-years-and-adolescents/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=9~150&usage_type=default&displ

Uwaezuoke SN, Ndu IK, Eze IC. The prevalence and risk of urinary tract infection in malnourished children: a systematic review and meta-analysis. BMC Pediatr [Internet]. 2019 Jul 27 [cited 2023 May 22];19(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660684/

Hum SW, Shaikh N. Risk Factors for Delayed Antimicrobial Treatment in Febrile Children with Urinary Tract Infections. J Pediatr [Internet]. 2019 Feb 1 [cited 2023 May 22];205:126. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348115/

Bazargani Z, Sarikhani F, Darenjani SK, Amirkhani M, Harsini PA, Khani Jeihooni A. Effect of Educational intervention based on Health Belief Model on promoting preventive behaviours of urinary tract infections in mothers with children under 6-Years of age. BMC Womens Health [Internet]. 2022 Dec 1 [cited 2023 May 22];22(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534476/

Li X, Yu Q, Qin F, Zhang B, Lu Y. Serum Vitamin D Level and the Risk of Urinary Tract Infection in Children: A Systematic Review and Meta-Analysis. Front Public Heal [Internet]. 2021 Mar 19 [cited 2023 May 22];9:637529. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017300/

Estrada CR, Nelson CP, Wang HH, Bertsimas D, Dunn J, Li M, et al. Targeted workup after initial febrile Urinary Tract Infection: Using a novel machine learning model to identify children most likely to benefit from VCUG. J Urol [Internet]. 2019 Jul 1 [cited 2023 May 22];202(1):144. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373365/

Shaikh N, Hoberman A, Hum SW, Alberty A, Muniz G, Kurs-Lasky M, et al. Development and Validation of a Calculator for Estimating the Probability of Urinary Tract Infection in Young Febrile Children. JAMA Pediatr [Internet]. 2018 Jun 1 [cited 2023 May 24];172(6):550. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137527/

Ortiz-Polanco SP, Castañeda-Uvajoa DM, Vega MR, Salgado DMC, Narváez CF, Rodríguez JA. Severe combined immunodeficiency (Scid) in neiva, colombia: Case report. Rev Fac Med [Internet]. 2019 [cited 2023 May 16];67(1):161–4. Available from: https://www.scopus.com/record/display.uri?eid=2-s2.0-85068622710&origin=resultslist&sort=plf-f&src=s&sid=868ab1ba9b3b45f22aa6963309898d2d&sot=b&sdt=cl&cluster=scosubjabbr%252C%2522MEDI%2522%252Ct%252Bscolang%252C%2522English%2522%252Ct%252C%2522Spanish%2522%252Ct%252Bscosubtype%252C%252

Boon HA, Van den Bruel A, Struyf T, Gillemot A, Bullens DMA, Verbakel JY. Clinical features for the diagnosis of pediatric urinary tract infections: Systematic review and meta-analysis. Ann Fam Med [Internet]. 2021 Sep 1 [cited 2023 May 22];19(5):437–46. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437566/

Smith J, Stapleton B, Ellison J. Kidney stones in children: Acute management [Internet]. UpToDate. 2020 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/kidney-stones-in-children-acute-management/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=15~150&usage_type=default&display_rank=15

Smith J, Stapleton B. Kidney stones in children: Clinical features and diagnosis [Internet]. UpToDate. 2021 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/kidney-stones-in-children-clinical-features-and-diagnosis/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=11~150&usage_type=default&display_rank=11

Wahyudi I, Raharja PAR, Situmorang GR, Rodjani A. Circumcision reduces urinary tract infection in children with antenatal hydronephrosis: Systematic review and meta-analysis. J Pediatr Urol [Internet]. 2023 Feb 1 [cited 2023 May 22];19(1):66–74. Available from: https://www.sciencedirect.com/science/article/pii/S1477513122004715?via%3Dihub

DynaMed. Urinary Tract Infection (UTI) in Children [Internet]. EBSCO Information Services. 2023 [cited 2023 May 22]. Available from: https://www.dynamed.com/condition/urinary-tract-infection-uti-in-children#GUID-08C3FE2A-C572-4C80-B035-950CB3D4650A

Selekman RE, Shapiro DJ, Boscardin J, Williams G, Brandström P, Craig JC, et al. Uropathogen resistance and antibiotic prophylaxis: A meta-analysis. Pediatrics [Internet]. 2018 Jul 1 [cited 2023 May 22];142(1):20180119. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317567/

Ahmadi Z, Shamsi M, Roozbahani N, Moradzadeh R. The effect of educational intervention program on promoting preventive behaviors of urinary tract infection in girls: a randomized controlled trial. BMC Pediatr [Internet]. 2020 Feb 19 [cited 2023 May 22];20(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029567/

Roilides E, Ashouri N, Bradley JS, Johnson MG, Lonchar J, Su FH, et al. Safety and Efficacy of Ceftolozane/Tazobactam Versus Meropenem in Neonates and Children With Complicated Urinary Tract Infection, Including Pyelonephritis: A Phase 2, Randomized Clinical Trial. Pediatr Infect Dis J [Internet]. 2023 Apr 1 [cited 2023 May 22];42(4):292. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990597/

Williams G, Craig JC. Long‐term antibiotics for preventing recurrent urinary tract infection in children. Cochrane Database Syst Rev [Internet]. 2019 Apr 1 [cited 2023 May 22];2019(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442022/

Daniel M, Szajewska H, Paczyk-Tomaszewska M. 7-day compared with 10-day antibiotic treatment for febrile urinary tract infections in children: protocol of a randomised controlled trial. BMJ Open [Internet]. 2018 Mar 1 [cited 2023 May 22];8(3):19479. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855174/

Xia JY, Yang C, Xu DF, Xia H, Yang LG, Sun GJ. Consumption of cranberry as adjuvant therapy for urinary tract infections in susceptible populations: A systematic review and meta-analysis with trial sequential analysis. PLoS One [Internet]. 2021 Sep 1 [cited 2023 May 22];16(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8412316/

J. PH, O. CA, C CG, Ch VN, M MPR. Recomendaciones sobre diagnóstico, manejo y estudio de la infección del tracto urinario en pediatría. Rama de Nefrología de la Sociedad Chilena de Pediatría. Parte 1. Rev Chil Pediatría [Internet]. 2020 Apr 22 [cited 2023 May 28];91(2):281–8. Available from: https://www.revistachilenadepediatria.cl/index.php/rchped/article/view/1267

Boon HA, Struyf T, Bullens D, Van den Bruel A, Verbakel JY. Diagnostic value of biomarkers for paediatric urinary tract infections in primary care: systematic review and meta-analysis. BMC Fam Pract [Internet]. 2021 Dec 1 [cited 2023 May 22];22(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8474745/

Rius-Gordillo N, Ferré N, González JD, Ibars Z, Parada-Ricart E, Fraga MG, et al. Dexamethasone to prevent kidney scarring in acute pyelonephritis: a randomized clinical trial. Pediatr Nephrol [Internet]. 2022 Sep 1 [cited 2023 May 22];37(9):2109. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307518/

Shaikh N, Shope TR, Hoberman A, Muniz GB, Bhatnagar S, Nowalk A, et al. Corticosteroids to prevent kidney scarring in children with a febrile urinary tract infection – a randomized trial. Pediatr Nephrol [Internet]. 2020 Nov 1 [cited 2023 May 22];35(11):2113. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529851/

Coulthard MG. Using urine nitrite sticks to test for urinary tract infection in children aged < 2 years: a meta-analysis. Pediatr Nephrol [Internet]. 2019 [cited 2023 May 22];34(7):1283. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531406/

Shaikh KJ, Osio VA, Leeflang MMG, Shaikh N. Procalcitonin, C‐reactive protein, and erythrocyte sedimentation rate for the diagnosis of acute pyelonephritis in children. Cochrane Database Syst Rev [Internet]. 2020 Sep 10 [cited 2023 May 22];2020(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479592/

Hain G, Goldbart A, Sagi O, Ben-Shimol S. High Rates of Antibiotic Nonsusceptibility in Gram-negative Urinary Tract Infection in Children With Risk Factors Occurring in the Preceding Month: Considerations for Choosing Empiric Treatment. Pediatr Infect Dis J [Internet]. 2021 Jul 1 [cited 2023 May 28];40(7):639–44. Available from: https://pubmed.ncbi.nlm.nih.gov/33872277/

Raman G, McMullan B, Taylor P, Mallitt KA, Kennedy SE. Multiresistant E. coli urine infections in children: a case-control study. Arch Dis Child [Internet]. 2018 Apr 1 [cited 2023 May 28];103(4):336–40. Available from: https://pubmed.ncbi.nlm.nih.gov/28899877/

Palazzi DL, Campbell JR. Acute infectious cystitis: Management and prognosis in children older than two years and adolescents [Internet]. UpToDate. 2023 [cited 2023 May 22]. Available from: https://www.uptodate.com/contents/acute-infectious-cystitis-management-and-prognosis-in-children-older-than-two-years-and-adolescents/print?search=Urinary Tract Infection in Children&source=search_result&selectedTitle=3~150&usage_type=default&display_rank

Desai S, Aronson PL, Shabanova V, Neuman MI, Balamuth F, Pruitt CM, et al. Parenteral Antibiotic Therapy Duration in Young Infants With Bacteremic Urinary Tract Infections. Pediatrics [Internet]. 2019 [cited 2023 May 29];144(3). Available from: https://pubmed.ncbi.nlm.nih.gov/31431480/

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Publicado

2024-01-08

Cómo citar

Rojas Pérez, L. A., Cruz Basantes, B. H., Rojas Cruz, L. A., Rojas Cruz, A. E., Rojas Cruz, A. E., & Villagómez Vega, M. D. (2024). MANEJO DE LA INFECCIÓN DEL TRACTO URINARIO EN NIÑOS. LA CIENCIA AL SERVICIO DE LA SALUD Y NUTRICIÓN, 14(2), C_101–114. https://doi.org/10.47187/cssn.Vol14.IssEd.Esp.234

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