Urinary tract infection in children - short versus standard duration antibiotic therapy

NAMROŻY, Natalia, DUBEL, Robert, CZEKAJ, Aleksandra, RUSZEL, Kinga, DUBEL, Julia, MERKISZ, Konrad, NEMECZEK, Sylwia, GRZYBOWSKI, Jakub, JASKUŁA, Karolina & ORŁOWSKI, Władysław. Urinary tract infection in children - short versus standard duration antibiotic therapy. Journal of Education, Health and Sport. 2023;13(2):98-103. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.13.02.013 https://apcz.umk.pl/JEHS/article/view/41146 https://zenodo.org/record/7460064 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 30.11.2022. Revised: 18.12.2022. Accepted: 20.12.2022. Urinary tract infection in children- short versus standard duration antibiotic therapy Natalia Namroży Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie orcid.org/0000-0002-7553-4395natalia.namrozy0@gmail.com Robert Dubel Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie orcid.org/ 0000-0001-7666-2893 r_dubel@wp.pl Aleksandra Czekaj Wojewódzki Szpital Specjalistyczny Nr 1 imienia Fryderyka Chopina w Rzeszowie orcid.org/0000-0003-3104-683Xlexi7979@gmail.com Kinga Ruszel Wojskowy Szpital Kliniczny Nr 1 w Lublinie orcid.org/0000-0002-9633-4288kingaruszel@gmail.com Julia Dubel Warszawski Uniwersytet Medyczny orcid.org/0000-0002-4854-2912julkadubel@gmail.com Konrad Merkisz Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie https://orcid.org/0000-0002-3533-2967 | konrad.merkisz@gmail.com Sylwia Nemeczek Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie https://orcid.org/0000-0003-2936-1822 | sylwianem@gmail.com Jakub Grzybowski Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie https://orcid.org/0000-0002-2110-7304 | grzybowski.jakub00@gmail.com Karolina Jaskuła Wojewódzki Szpital Specjalistyczny Nr 1 imienia Fryderyka Chopina w Rzeszowie https://orcid.org/0000-0002-0040-4545| kmierzwa159@gmail.com Władysław Orłowski Wojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w Lublinie https://orcid.org/0000-0002-8191-2102 | wladyslaworlowski96@gmail.com Abstract: Background: Urinary Tract Infection (UTI) is a common infection in children. Prompt diagnosis and appropriate treatment are very important to reduce the morbidity. Pediatric urologists are now faced with a situation that requires appropriate action- antibiotic resistance of urinary tract pathogens is significantly increasing worldwide. Objective: The purpose of our work is to present the clinical aspects of antibiotic use in pediatric urology. To present the benefits of both short antibiotic therapy andstandardantibiotic therapy. Methods and materials: A literature review was conducted in the PubMed database, using the key words: "urinary tract infection", "children", "short-term antibiotics", "antibiotics", „nephrology”. Results:Short-term antibiotic therapy for lower urinary tract infections appears to be as effective as standard therapy. Studies show that shorter antibiotic therapy also works well for pyelonephritis in pediatric patients. Children who have received a short course of antibiotic therapy may also be less likely to get subsequent infections in the future with a more resistant strain of the same uropathogen. Conclusion: Tried to reconcile the latest reports on diagnosis, treatment and follow-up in pediatric UTIs with existing practice and opinions on the use of short as well as standardantibiotic therapy.However, more clinical trials are needed to confirm efficacy, and to assess side effects of the therapy KEY WORDS: urinary tract infection; pediatrics; pediatric nephrology