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Revista Cubana de Pediatría

Print version ISSN 0034-7531On-line version ISSN 1561-3119


DURAN ALVAREZ, Sandalio. Acceptability of the "empirical" treatment of acute urinary infection in children. Rev Cubana Pediatr [online]. 2011, vol.83, n.1, pp.109-116. ISSN 0034-7531.

The guidances proposed for international groups emphasize the significance of diagnosis of the urinary tract infection in primary health care to start an early antibiotics treatment in cases of a major risk. The primary care physician sometimes works far from the microbiology laboratories and can not to carry out a fast uroculture for an appropriate treatment. This physician needs to have available fast diagnostic tests helping him to make a more suitable medical decision, although any combination of them may to replace the uroculture. In present proposal are analyzed those situations where the physician must to await for bacteriological study results to start the "empirical" treatment after the sample take for uroculture if it may to be carry out. In exceptional cases of impossibility to conduct the bacteriological study, the physician must to act using the so called "fast diagnosis" methods.

Keywords : Urinary tract infection (UTI); uroculture; reactive strip; nitrites; leucocytic esterase; leukocyturia.

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