Review of adolescent urinary tract infection
Tóm tắt
The diagnosis and management of adolescent urinary tract infection (UTI) shares some of the clinical features seen in infections of the young and old. Whereas most infections in the young patient demand an extensive radiologic work-up, the teenager with a UTI is not so straightforward. The clinical must balance being too aggressive with being too conservative in the diagnosis and management of these patients. UTIs occur most frequently among adolescent females and are usually uncomplicated and not associated with underlying anatomic abnormalities. Smaller numbers of adolescent males suffer from UTIs, and the need to search for underlying abnormalities is not clear. Adolescent UTI is associated with nascent sexual activity and is also more common in voiding/elimination syndromes. Future studies examining UTI, specifically in the adolescent age group, will help provide clinicians with a more focused algorithm in the diagnosis and management of adolescent UTIs.
Tài liệu tham khảo
Ziv A, Boulet J, Slap G: Emergency department utilization by adolescents in the United States. Pediatrics 1998, 101:987–994.
Ziv A, Boulet J, Slap G: Utilization of physicians offices by adolescents in the United States. Pediatrics 1999, 104:35.
Foxman B, Barlow R, D’Arcy H: Urinary tract infections: self-reported incidence and associated costs. Ann Epidemiol 2000, 10:509–515.
Hooton TM, Scholes D, Stapleton AE, et al.: A prospective study of asymptomatic bacteriuria in sexually active young women. N Eng J Med 2000, 343:992–997.
Nicolle LE: Asymptomatic bacteriuria: review and discussion of the IDSA guidelines. Int J Antimicrob Agents 2006, 28(Suppl):42–48.
Raz R, Colodner R, Kunin CM: Who are you-Staphylococcus saprophyticus? Clin Infect Dis 2005, 40:896–898.
Hedman P, Ringertz O: Urinary tract infections caused by Staphylococcus Saprophyticus. A matched case control study. J Infect 1991, 23:145–153.
Fihn SD, Boyko EJ, Chen CL: Use of spermicide-coated condoms and other risk factors for urinary tract infections caused by Staphylococcus Saprophyticus. Arch Intern Med 1998, 158:281.
Guidoni EB, Toporovski J: Urinary tract infections in adolescents. J Pediatr 2001, 77:165.
Scholes D, Hooton T, Roberts P: Risk factors for recurrent urinary tract infections in young women. J Infect Dis 2000, 182:1177.
Nguyen H, Weir M: Urinary tract infection as a possible marker for teenage sex. South Med J 2002, 95:867–869.
Stamatiou C, Bovis C, Panagopolous P: Sex-induced cystitis—patient burden and other epidemiological features. Clin Exp Obstet Gynecol 2005, 32:180–182.
Stamatiou C, Petrakos G, Bovis C: Efficacy of prophylaxis in women with sex-induced cystitis. Clin Exp Obstet Gynecol 2005, 32:193–195.
Berg E, Benson D, Haraskiewicz P: High prevalence of sexually transmitted diseases in women with urinary infections. Acad Emerg Med 1996, 3:1030–1034.
Huppert JS, Biro FM, Mehrabi J, Slap GB: Urinary tract infection and chlamydia infection in adolescent females. J Pediatr Adolesc Gynecol 2003, 16:133–137.
Abarbanel J, Engelstein D, Lask D, Livine PM: Urinary tract infection in men younger than 45 years of age: is there a need for urologic investigation? Urology 2003, 62:27–29.
Krieger JN, Ross SD, Simonsen JM: Urinary tract infections in healthy university men. J Urol 1993, 149:1046–1048.
Khan A, Schaeffer H, Evans H: Urinary tract infections in adolescent boys. J Natl Med Assoc 1996, 88:217.
Chroustova D, Palyzova D, Urbanova I, Kolska M: Results of a five-year study of 99mTc DMSA renal scintigraphy in children and adolescents following acute pyelonephritis. Nucl Med Rev Cent East Eur 2006, 9:46–50.
van Haarst EP, van Andel G, Heldeweg EA, et al.: Evaluation of the diagnostic work-up in young women referred for recurrent lower urinary tract infections. Urology 2001, 57:1068–1072.
Gargollo PC, Kozakewich HP, Bauer SB, et al.: Balanitis xerotica obliterans in boys. J Urol 2005, 174:1409–1412.
Yeung CK, Sihoe JD, Sit FK: Characteristics of primary nocturnal enuresis in adults: an epidemiological study. BJU Int 2004, 93:341–345.
Nappo S, Del Gade R, Chiozz ML, et al.: Nocturnal enuresis in the adolescent: a neglected problem. BJU Int 2002, 90:912–917.
Bakker E, van Gool J, van Sprundel M, et al.: Risk factors for recurrent urinary tract infection in 4332 Belgian schoolchildren aged between 10 and 14 years. Eur J Pediatr 2004, 163:234–238.
Bower WF, Sit FKY, Yeung CK: Nocturnal enuresis in adolescents and adults is associated with childhood elimination syndromes. J Urol 2006, 176:1771–1775.
Herz D, Weiser A, Collette T, et al.: Dysfunctional elimination syndrome as an etiology of idiopathic urethritis in childhood. J Urol 2005, 173:2132–2137.
Li Y, Oi L, Wen JG, et al.: Chronic prostatitis during puberty. BJU Int 2006, 98:818–821.
Grether JK, Nelson KB: Maternal infection and cerebral palsy in infants of normal birthweight. JAMA 1997, 278:207–211.
McDermott S, Callaghan W, Szwejbka L, et al.: Urinary tract infections during pregnancy and mental retardation and development delay. Obstet Gynecol 2000, 96:113–119.
Duff P: Antibiotic selection in obstetrics; making cost effective choices. Clin Obstet Gynecology 2002, 45:59–72.
Beetz R, Mannhardt W, Fisch M, et al.: Long-term followup of 158 young adults surgically treated for vesicoureteral reflux in childhood:the ongoing risk of urinary tract infections. J Urol 2002, 168:704–707.
Gaspari RJ, Dickson E, Karlowsky J, Doern G: Multidrug resistance in pediatric urinary tract infections. Microb Drug Resist 2006, 12:126–129.
Committee on infectious diseases: The use of systemic fluoroquinolones. Pediatrics 2006, 118:1287–1292.
Gupta K, Hooton TM, Roberts PL, Stamm WE: Patient initiated treatment of uncomplicated recurrent urinary tract infections in young women. Ann Intern Med 2001, 135:9–16.