Antibiotic prophylaxis is unnecessary to prevent renal scarring after urinary tract infection in healthy children

Javier Miranda Mallea^a, Paz González Rodríguez^b

^aServicio de Pediatría. Hospitales Vithas Nisa 9 de Octubre y Virgen del Consuelo. Valencia. Hospital Rey Don Jaime. Castellón. España .
^bPediatra. CS Barrio del Pilar. Madrid. España.

Correspondence: J Miranda . E-mail: doctormiranda@gmail.com

Reference of this article: Miranda Mallea J, González Rodríguez P. Antibiotic prophylaxis is unnecessary to prevent renal scarring after urinary tract infection in healthy children. Rev Pediatr Aten Primaria. 2019;21:203-6.

Published in Internet: 18-06-2019 - Visits: 10676

Abstract

Authors’ conclusions: antibiotic prophylaxis is not indicated for the prevention of renal scarring after a first or second symptomatic or febrile urinary tract infection in otherwise healthy children.

Reviewers’ commentary: incidence of renal scarring after febrile urinary tract infection in healthy children is low, around 6%. There are not differences between prophylaxis and control groups, so prophylactic antibiotic therapy is not justified.

Keywords

● Antibiotic prophylaxis ● Child ● Pyelonephritis ● Urinary tract infections