Journal of Pediatric Neurological Disorders

Febrile Urinary Tract Infection Online Journals

 Febrile urinary tract infections (UTIs) are the most common severe bacterial infections occur in childhood, with potential serious long-term consequences. In present, there have remained significant growths in our understanding of the pathophysiology and clinical and laboratory issues of febrile UTIs. All the available strategies highlight the importance of a correct diagnosis of febrile UTI to let more rational use of antibiotics and imaging. As a importance, a change from violent imaging studies to a more preventive and targeted approach has been recently observed. Concerning the prognosis of febrile UTI, the overview of prenatal ultrasound studies revealed that a great portion of the changes .has occurred previously recognized to post infection scarring, were because of congenital kidney and urinary tract abnormalities. Though the continuing consequences of febrile UTIs are hard to ascertain, it seems that children with febrile UTI, normal renal function and normal kidneys at start present a very low risk of developing decreased renal function or hypertension during follow-up. Though, high body temperature and high procalcitonin stages during the acute phase of illness, which are revealing of severe inflammation, and the discovery of renal scarring on imaging with DMSA scintigraphy 6 months after febrile UTI, together with the finding of congenital kidney and urinary tract abnormalities, specify "kidney at risk" in UTI.  

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