Urinary tract infection in the infant: The unsuspected diagnosis

M. Berger, M. M. Warren, C. K. Hayden

Research output: Contribution to journalArticle

Abstract

Urinary tract infection (UTI) in childhood is surpassed only by the usual fevers and upper respiratory tract infections in its frequency of occurrence, yet a high index of suspicion, aggressive treatment, and conscientious follow-up is not common. Although most infants with UTI have few residua, others require urinary tract diversion and still others develop end-stage renal disease. Perhaps the reason that UTIs are often overlooked in children is because of the emphasis that is put on flank pain, dysuria, or frequency as signs of UTI, with little regard to the age variables associated with these symptoms. However, nonspecific symptoms such as jaundice, anorexia, vomiting, failure to thrive, enuresis, and abdominal pain may signal UTI in a young child. Children in whom such symptoms exist but in whom the significance goes unnoticed may be those who fail to thrive as infants, develop obvious infection as adolescents, and develop end-stage renal disease as adults. Children at particular risk who deserve close monitoring are those whose first UTI occurs before age 2 years, boys with structural anomalies, and those with recurrent infections, as illustrated by 2 case reports.

Original languageEnglish (US)
Pages (from-to)610-612
Number of pages3
JournalPediatrics
Volume62
Issue number4
StatePublished - 1978

Fingerprint

Urinary Tract Infections
Chronic Kidney Failure
Flank Pain
Enuresis
Dysuria
Failure to Thrive
Urinary Diversion
Anorexia
Jaundice
Infection
Urinary Tract
Respiratory Tract Infections
Abdominal Pain
Vomiting
Fever
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Berger, M., Warren, M. M., & Hayden, C. K. (1978). Urinary tract infection in the infant: The unsuspected diagnosis. Pediatrics, 62(4), 610-612.

Urinary tract infection in the infant : The unsuspected diagnosis. / Berger, M.; Warren, M. M.; Hayden, C. K.

In: Pediatrics, Vol. 62, No. 4, 1978, p. 610-612.

Research output: Contribution to journalArticle

Berger, M, Warren, MM & Hayden, CK 1978, 'Urinary tract infection in the infant: The unsuspected diagnosis', Pediatrics, vol. 62, no. 4, pp. 610-612.
Berger M, Warren MM, Hayden CK. Urinary tract infection in the infant: The unsuspected diagnosis. Pediatrics. 1978;62(4):610-612.
Berger, M. ; Warren, M. M. ; Hayden, C. K. / Urinary tract infection in the infant : The unsuspected diagnosis. In: Pediatrics. 1978 ; Vol. 62, No. 4. pp. 610-612.
@article{ad47310cbfed45ac81ba950eeca44ba1,
title = "Urinary tract infection in the infant: The unsuspected diagnosis",
abstract = "Urinary tract infection (UTI) in childhood is surpassed only by the usual fevers and upper respiratory tract infections in its frequency of occurrence, yet a high index of suspicion, aggressive treatment, and conscientious follow-up is not common. Although most infants with UTI have few residua, others require urinary tract diversion and still others develop end-stage renal disease. Perhaps the reason that UTIs are often overlooked in children is because of the emphasis that is put on flank pain, dysuria, or frequency as signs of UTI, with little regard to the age variables associated with these symptoms. However, nonspecific symptoms such as jaundice, anorexia, vomiting, failure to thrive, enuresis, and abdominal pain may signal UTI in a young child. Children in whom such symptoms exist but in whom the significance goes unnoticed may be those who fail to thrive as infants, develop obvious infection as adolescents, and develop end-stage renal disease as adults. Children at particular risk who deserve close monitoring are those whose first UTI occurs before age 2 years, boys with structural anomalies, and those with recurrent infections, as illustrated by 2 case reports.",
author = "M. Berger and Warren, {M. M.} and Hayden, {C. K.}",
year = "1978",
language = "English (US)",
volume = "62",
pages = "610--612",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "4",

}

TY - JOUR

T1 - Urinary tract infection in the infant

T2 - The unsuspected diagnosis

AU - Berger, M.

AU - Warren, M. M.

AU - Hayden, C. K.

PY - 1978

Y1 - 1978

N2 - Urinary tract infection (UTI) in childhood is surpassed only by the usual fevers and upper respiratory tract infections in its frequency of occurrence, yet a high index of suspicion, aggressive treatment, and conscientious follow-up is not common. Although most infants with UTI have few residua, others require urinary tract diversion and still others develop end-stage renal disease. Perhaps the reason that UTIs are often overlooked in children is because of the emphasis that is put on flank pain, dysuria, or frequency as signs of UTI, with little regard to the age variables associated with these symptoms. However, nonspecific symptoms such as jaundice, anorexia, vomiting, failure to thrive, enuresis, and abdominal pain may signal UTI in a young child. Children in whom such symptoms exist but in whom the significance goes unnoticed may be those who fail to thrive as infants, develop obvious infection as adolescents, and develop end-stage renal disease as adults. Children at particular risk who deserve close monitoring are those whose first UTI occurs before age 2 years, boys with structural anomalies, and those with recurrent infections, as illustrated by 2 case reports.

AB - Urinary tract infection (UTI) in childhood is surpassed only by the usual fevers and upper respiratory tract infections in its frequency of occurrence, yet a high index of suspicion, aggressive treatment, and conscientious follow-up is not common. Although most infants with UTI have few residua, others require urinary tract diversion and still others develop end-stage renal disease. Perhaps the reason that UTIs are often overlooked in children is because of the emphasis that is put on flank pain, dysuria, or frequency as signs of UTI, with little regard to the age variables associated with these symptoms. However, nonspecific symptoms such as jaundice, anorexia, vomiting, failure to thrive, enuresis, and abdominal pain may signal UTI in a young child. Children in whom such symptoms exist but in whom the significance goes unnoticed may be those who fail to thrive as infants, develop obvious infection as adolescents, and develop end-stage renal disease as adults. Children at particular risk who deserve close monitoring are those whose first UTI occurs before age 2 years, boys with structural anomalies, and those with recurrent infections, as illustrated by 2 case reports.

UR - http://www.scopus.com/inward/record.url?scp=0018096922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018096922&partnerID=8YFLogxK

M3 - Article

C2 - 714596

AN - SCOPUS:0018096922

VL - 62

SP - 610

EP - 612

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

ER -