SOVREMENNYE PREDSTAVLENIYa O TERAPII MOChEVYKh INFEKTsIY U DETEY
- Authors: Chashchina I.L1
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- Issue: No 1 (2013)
- Pages: 88-92
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/280196
- ID: 280196
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Abstract
The problem of diagnosis and treatment of acute urinary tract infection (UTI) among febrile children remains relevant in connection with a large prevalence of the nosology and the growth of antibiotic resistance. The need for antibiotics in the treatment of acute UTI in children is also practically assured. The duration of therapy remains debatable, since the exact topical diagnosis in infants is usually difficult. The effectiveness of treatment of acute UTI in infants does not depend on the method of starting administration of antibacterial drug, but depends on the dose that ensures the achievement of minimum inhibitory concentration. Protected aminopenicillins, as well as II and III generation cephalosporins are drugs of choice. In children with acute UTI who received antibiotic therapy during the previous period of the disease, as well as in suspected obstructive uropathy, uropathogens with high resistance to aminopenicillins, including protected aminopenicillins, are most likely causative agents. In such cases, the II-III generation cephalosporin should be the drug of choice.
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