March 2019. Volume 15. Number 1

Antibiotic prophylaxis is unnecessary to prevent renal scarring after urinary tract infection in healthy children

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Hewitt IK, Pennesi M, Morello W, Ronfani L, Montini G. Antibiotic Prophylaxis for Urinary Tract Infection-Related Renal Scarring: A systematic Review. Pediatrics. 2017;139:e20163145.

Reviewers: Miranda Mallea J1, González Rodríguez P2.
1Servicio de Pediatría. Hospitales Vithas Nisa 9 de Octubre y Virgen del Consuelo. Valencia. Hospital Rey Don Jaime. Castellón. España.
2Pediatra. CS Barrio del Pilar. Madrid. España.
Correspondence: Javier Miranda Mallea . Email: doctormiranda@gmail.com
Reception date: 24/01/2019
Acceptance date: 12/02/2019
Publication date: 20/02/2019

Abstract

Authors’ conclusions: antibiotic prophylaxis is not indicated for the prevention of renal scarring after a first or second symptomatic or febrile urinary tract infection in otherwise healthy children.

Reviewers’ commentary: incidence of renal scarring after febrile urinary tract infection in healthy children is low, around 6%. There are not differences between prophylaxis and control groups, so prophylactic antibiotic therapy is not justified.

How to cite this article

Miranda Mallea J, González Rodríguez P. La profilaxis antibiótica es innecesaria para prevenir las cicatrices renales tras infección urinaria en niños sanos. Evid Pediatr. 2019;15:7.

AVC | Critically appraised articles

Hewitt IK, Pennesi M, Morello W, Ronfani L, Montini G. Antibiotic Prophylaxis for Urinary Tract Infection-Related Renal Scarring: A systematic Review. Pediatrics. 2017;139:e20163145.

Reviewers: Miranda Mallea J1, González Rodríguez P2.
1Servicio de Pediatría. Hospitales Vithas Nisa 9 de Octubre y Virgen del Consuelo. Valencia. Hospital Rey Don Jaime. Castellón. España.
2Pediatra. CS Barrio del Pilar. Madrid. España.
Correspondence: Javier Miranda Mallea . Email: doctormiranda@gmail.com
Reception date: 24/01/2019
Acceptance date: 12/02/2019
Publication date: 20/02/2019

How to cite this article

Miranda Mallea J, González Rodríguez P. La profilaxis antibiótica es innecesaria para prevenir las cicatrices renales tras infección urinaria en niños sanos. Evid Pediatr. 2019;15:7.

20/02/2019

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