DIAGNOSTICO DE INFECCIÓN URINARIA EN PEDIATRÍA. MÉTODOS DE LABORATORIO.

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Bibliographic Details
Title:	DIAGNOSTICO DE INFECCIÓN URINARIA EN PEDIATRÍA. MÉTODOS DE LABORATORIO.
Alternate Title:	LABORATORY DIAGNOSIS OF URINARY TRACT INFECTION IN PEDIATRICS.
Authors:	Sanna V., Víctor José¹ bibliotecavirtualpediatrica@gmail.com
Source:	Archivos Venezolanos de Puericultura y Pediatría. ene-jun2025, Vol. 88 Issue 1, p47-53. 4p.
Subjects:	URINARY tract infections, PEDIATRICS, INFLAMMATORY mediators, URINALYSIS, CLINICAL pathology, CYSTITIS, BIOMARKERS
Abstract (English):	Urinary Tract Infection (UTI) in children is very frequent; therefore, it is vital to identify its presence through clinical suspicion, physical examination, laboratory tests, and, in many cases, imaging studies that allow for its diagnosis and localization--whether as an upper UTI (pyelonephritis) or a lower UTI (cystitis). The proper collection of the urine sample is often decisive and crucial for subsequent clinical management. The correct interpretation of reagent strip tests, leukocyte esterase results, the nitrate-to-nitrite reaction, urinary sediment, inflammatory markers, urinary biomarkers, and urine culture will allow for the appropriate treatment of the patient with UTI to prevent parenchymal damage. Even today, there is significant variability in the diagnostic management of patients with UTI. This review discusses the various aspects involved in the clinical and laboratory diagnosis of UTI from a general approach, always bearing in mind that certain conditions and patients require individualized management. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	La Infección del Tracto Urinario (ITU) en niños es muy frecuente, por lo que es muy importante identificar su presencia a través de la sospecha clínica, el examen físico, pruebas de laboratorio y, en muchos casos, de estudios imagenológicos que nos permitan su diagnóstico y localización, bien sea una ITU alta (pielonefritis) o baja (cistitis). La adecuada recolección de la muestra de orina suele ser determinante y crucial para el manejo clínico posterior. La interpretación correcta de las pruebas con cintas reactivas, de los resultados de esterasa leucocitaria, reacción de nitratos a nitritos, sedimento urinario, marcadores inflamatorios, biomarcadores urinarios y del urocultivo permitirá un adecuado tratamiento del paciente con ITU para evitar el daño parenquimatoso. Aun en la actualidad existe mucha variabilidad en el manejo del diagnóstico del paciente con ITU. En esta revisión se discuten los distintos aspectos involucrados en diagnóstico clínico y de laboratorio de la ITU, desde un abordaje general, siempre teniendo en cuenta que existen condiciones y pacientes que ameritan un manejo individualizado. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Urinary Tract Infection (UTI) in children is very frequent; therefore, it is vital to identify its presence through clinical suspicion, physical examination, laboratory tests, and, in many cases, imaging studies that allow for its diagnosis and localization--whether as an upper UTI (pyelonephritis) or a lower UTI (cystitis). The proper collection of the urine sample is often decisive and crucial for subsequent clinical management. The correct interpretation of reagent strip tests, leukocyte esterase results, the nitrate-to-nitrite reaction, urinary sediment, inflammatory markers, urinary biomarkers, and urine culture will allow for the appropriate treatment of the patient with UTI to prevent parenchymal damage. Even today, there is significant variability in the diagnostic management of patients with UTI. This review discusses the various aspects involved in the clinical and laboratory diagnosis of UTI from a general approach, always bearing in mind that certain conditions and patients require individualized management. [ABSTRACT FROM AUTHOR]
ISSN:	00040649