June 2006. Volume 2. Number 2

In children after an acute pyelonephritis, urinary antibiotic prophylaxis doesn´t prevent the recurrence of urinary tract infection and the development of renal scars, even in those with mild/moderate vesicoureteral reflux

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Garin EH, Olavaria F, García Nieto V, Valenciano B, Campos A, Young L. Clinical significance of primary vesicoureteral reflux and urinary antibiotic prophylaxis after acute pyelonephritis: a multicenter, randomized, controlled study. Pediatrics. 2006;117:626–32
Reviewers: González de Dios J1, Fino Narbaitz E2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2 Servicio de Pediatrí­a. Hospital General San José de San Martí­n. Carhué. Buenos Aires. Argentina.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Reception date: /05/2006
Acceptance date: 23/05/2006
Publication date: 01/06/2006

Abstract


How to cite this article

González de Dios J, Fino Narbaitz E. En niños con pielonefritis aguda la profilaxis antibiótica no disminuye la recurrencia de infecciones de orina y cicatrices renales, incluso en aquéllos con reflujo vesicoureteral leve-moderado. Evid Pediatr. 2006;2.20.

AVC | Critically appraised articles

Garin EH, Olavaria F, García Nieto V, Valenciano B, Campos A, Young L. Clinical significance of primary vesicoureteral reflux and urinary antibiotic prophylaxis after acute pyelonephritis: a multicenter, randomized, controlled study. Pediatrics. 2006;117:626–32
Reviewers: González de Dios J1, Fino Narbaitz E2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2 Servicio de Pediatrí­a. Hospital General San José de San Martí­n. Carhué. Buenos Aires. Argentina.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Reception date: /05/2006
Acceptance date: 23/05/2006
Publication date: 01/06/2006

How to cite this article

González de Dios J, Fino Narbaitz E. En niños con pielonefritis aguda la profilaxis antibiótica no disminuye la recurrencia de infecciones de orina y cicatrices renales, incluso en aquéllos con reflujo vesicoureteral leve-moderado. Evid Pediatr. 2006;2.20.

References

  1. Elders JS, Peters CA, Arant BS Jr, Ewalt DH, Hawtrey CE, Hurwitz RS, et al. Pediatric Vesicoureteral Reflux Guidelines Panel summary report on the management of primary vesicoureteral reflux in children. J Urol. 1997;157:1846-51.
  2. Le Saux N, Pham B, Moher D. Evaluting the benefits of antimicrobial prophylaxis to prevent urinary tract infections in children : a systematic review. CMAJ. 2000;165:523-9.
  3. Williams GJ, Lee A, Craig JC. Antibiotics for the prevention of urinary tract infection in children: a systematic review of randomized controlled trials. J Pediatr. 2001;138:868-74.
  4. Gordon I, Barkovics M, Pindoria S, Cole TJ, Woolf AS. Primary vesicoureteral reflux as a predictor of renal damage in children hospitalized with urinary tract infection: a systematic review and meta-analysis. J Am Soc Nephrol. 2003;14:739-44.
  5. Wald ER. Vesicoureteral reflux: the role of antibiotic prophylaxis. Pediatrics. 2006;117:919-22.
01/06/2006

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