Pyuria in children

Pyuria in children is frequent pathological condition, especially during the first three years of life, mostly girls.
Peoria is a major symptom of inflammatory infectious diseases of the urinary tract (pielit, zistopielit, pyelonephritis, Pioneros).
Bacterial pyuria is caused by various bacteria, mainly Escherichia coli, Staphylococcus and Streptococcus. Aseptic P. occurs in infants, especially those suffering exudative catarrhal diathesis, when malnutrition with dehydration, infectious toxicosis and also at increased drug sensitivity. Occasionally you may receive pus in the urinary tract from a nearby ulcers (matecznik, perityphlic). In addition true P., possible false P. from proceeds of pus from the external genital organs in vulvovaginitis, poor hygienic care of the genitals. Insufficiently thorough collection of urine, especially in girls, without prior pidmyvannya is a common cause erroneous diagnosis of pyuria.
Infectious P. may be primary or secondary, complicating the sepsis, dysentery, salmonellosis, coloenterites and so on, However, and when the primary P. great importance focal infections (adenoiditis, tonsillitis, dental caries, cenoobrazovanija, piodermia). In infants prevails hematogenous route of infection in the urinary tract, in older children is rising.
Downstream there are acute and chronic pyuria. For acute characterized by sudden onset of high fever and toxicity, paleness; infants dominated by the symptoms of the nervous system arousal or lethargy, meningismus, convulsions) and gastrointestinal (anorexia, vomiting, diarrhea, weight loss. In older children, in addition to General symptoms, you may experience pain in the lower back, abdomen and dysuric phenomena. Acute Peoria prone to recurrence and move into a chronic form. Chronic Peoria often proceeds erased, without the expressed General and local phenomena or undulating course.
Children with chronic Peoria (the duration of the Petrograd over 1-2 months.) should be subjected urological examinations and screening for TB.
Treatment of P. early, proactive and comprehensive. In the acute period required bed rest, aeration, drink plenty of water (in severe cases of parenteral drip or struino fluids), vitamins, complete diet for age, devoid of extractive and irritants. Sulfanilamida, antibiotics (penicillin, streptomycin, chloramphenicol, and others), furadonin appoint short cycles (6-12 days), often combined and repeat courses (especially in the late start of treatment and protracted Peoria). Reorganization of focal infection. For persistent forms of P. - blood transfusion, infusion plasma, gamma-globulin. In chronic P. - reconstructive-plastic operations nephrectomy (unilateral pyelonephritis, Pioneros).