Evidence map›Paper›PMID 31454101›Full record

ReviewActa paediatrica (Oslo, Norway : 1992)2020

Updated Italian recommendations for the diagnosis, treatment and follow-up of the first febrile urinary tract infection in young children.

Anita Ammenti, Irene Alberici, Milena Brugnara, Roberto Chimenz, Stefano Guarino, Angela La Manna, Claudio La Scola, Silvio Maringhini, Giuseppina Marra, Marco Materassi and 10 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Acta paediatrica (Oslo, Norway : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06164600 (Bovine Colostrum Supplementation for Prophylaxis Against Recurrent Urinary Tract Infection in Children), which is not on this map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06164600 phase2completednot on this mapstarted 2023, after this paper: background citation

Bovine Colostrum Supplementation for Prophylaxis Against Recurrent Urinary Tract Infection in Children

TypeinterventionalSponsorAin Shams UniversityRan2023 to 2024Enrolled60ConditionsUrinary Tract Infections, Recurrent, Child, Prevention & ControlArmsBovine colostrum, Placebo
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Anita AmmentiPediatric Polyspecialistic Group, Poliambulatorio Medi-Saluser, Parma, Italy.
Irene AlbericiDepartment of Woman and Child's Health, University of Padova, Padova, Italy.ORCID 0000-0002-3428-5257
Milena BrugnaraPediatric Unit BT, Woman and Child's Hospital, Verona, Italy.
Roberto ChimenzPediatric Nephrology and Dialysis Unit, Department of Pediatrics, G. Martino Hospital, University of Messina, Messina, Italy.
Stefano GuarinoDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania L. Vanvitelli, Naples, Italy.
Angela La MannaDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania L. Vanvitelli, Naples, Italy.
Claudio La ScolaNephrology and Dialysis Unit, Department of Pediatrics, Azienda Ospedaliero Universitaria Sant'Orsola-Malpighi, Bologna, Italy.
Silvio MaringhiniDepartment of Pediatrics, ISMETT, Palermo, Italy.
Giuseppina MarraPediatric Nephrology, Dialysis and Transplant Unit, Fondazione Ca'Granda, IRCCS Policlinico di Milano, Milano, Italy.
Marco MaterassiPediatric Nephrology Unit, Meyer Hospital, Firenze, Italy.
William MorelloPediatric Nephrology, Dialysis and Transplant Unit, Fondazione Ca'Granda, IRCCS Policlinico di Milano, Milano, Italy.
Giangiacomo NicoliniPediatric Unit, San Martino Hospital, Belluno, Italy.
Marco PennesiDepartment of Pediatrics, Institute for Child and Maternal Health, IRCCS Burlo Garofolo, Trieste, Italy.
Lorena PisanelloFamily Pediatrician, Padova, Italy.
Fabrizio PugliesePediatric First Aid Unit, Salesi Children's Hospital, Ancona, Italy.
Floriana ScozzolaPediatric Unit, Ca'Foncello Civil Hospital, Treviso, Italy.
Felice SicaPediatric Unit, Ospedali Riuniti, Foggia, Italy.
Antonella ToffoloPediatric Unit, Hospital of Oderzo, Oderzo, Italy.
Giovanni MontiniPediatric Nephrology, Dialysis and Transplant Unit, Fondazione Ca'Granda, IRCCS Policlinico di Milano, Milano, Italy.ORCID 0000-0002-7350-4475
Italian Society of Pediatric Nephrology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimOur aim was to update the recommendations for the diagnosis, treatment and follow-up of the first febrile urinary tract infection in young children, which were endorsed in 2012 by the Italian Society of Pediatric Nephrology.

methodsThe Italian recommendations were revised on the basis of a review of the literature published from 2012 to October 2018. We also carried out an ad hoc evaluation of the risk factors to identify children with high-grade vesicoureteral reflux or renal scarring, which were published in the previous recommendations. When evidence was not available, the working group held extensive discussions, during various meetings and through email exchanges.

resultsFour major modifications have been introduced. The method for collecting urine for culture and its interpretation has been re-evaluated. We have reformulated the algorithm that guides clinical decisions to proceed with voiding cystourethrography. The suggested antibiotics have been revised, and we have recommended further restrictions of the use of antibiotic prophylaxis.

conclusionThese updated recommendations have now been endorsed by the Italian Society of Pediatric Nephrology and the Italian Society for Pediatric Infectivology. They can also be used to compare other recommendations that are available, as a worldwide consensus in this area is still lacking.

Indexed as

Urinary Tract InfectionsVesico-Ureteral RefluxChildChild, PreschoolFeverFollow-Up StudiesHumansInfantItalyantibiotic treatmentchildrenfebrile urinary tract infectionprophylaxisvesicoureteral reflux

Identifiers

PMID31454101
PMCPMC7004047

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.