Ciencias de la Salud

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Author: search.filters.author.Barreros Lema, Edwin EsmithSubject: search.filters.subject.PEDIATRÍA

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    AVANCES EN EL DIAGNÓSTICO Y TRATAMIENTO DE LA INFECCIÓN DEL TRACTO URINARIO EN PEDIATRÍA
    (2025-06-13) Barreros Lema, Edwin Esmith; Philco Toaza, Priscila Elizabeth; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de Medicina
    Urinary tract infection (UTI) is one of the most common bacterial infections in the pediatric population, especially in children under two years of age, Escherichia coli is the most common pathogen, responsible for the majority of cases. The high recurrence rate and potential for kidney damage underscore the importance of proper diagnosis and treatment. The objective of this scientific article is to identify recent advances in the diagnosis and treatment of urinary tract infection in children based on updated scientific evidence with the aim of improving clinical management in the pediatric population. A bibliographic review of the literature available in databases such as PubMed, Scopus and Web of Science was carried out; articles published between January 2019 and November 2024 that addressed the diagnosis, treatment and management of UTI in the pediatric population were included. The studies reviewed highlight the importance of early diagnosis through urine cultures and adaptation of treatment based on bacterial susceptibility. Advances include the use of fosfomycin, probiotics, and supplementation with vitamins D and C, all of which have shown promise in the prevention and treatment of UTIs. Additionally, new forms of intravesical therapy and the implementation of nutritional strategies to reduce infection recurrence are explored. It was concluded that the management of UTI in pediatrics has evolved, currently supplementation with micronutrients and probiotics are used as novel methods for the prevention of recurrent UTIs, while fosfomycin is presented as a viable option in cases of resistance to conventional antibiotics.