{"id":18841,"date":"2024-02-16T18:06:10","date_gmt":"2024-02-16T21:06:10","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=18841"},"modified":"2024-02-16T18:06:10","modified_gmt":"2024-02-16T21:06:10","slug":"atualizacoes-de-itu-na-pediatria-2023","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/","title":{"rendered":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Definicao_o_que_e_a_ITU\" >Defini\u00e7\u00e3o: o que \u00e9 a ITU?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Fatores_de_risco_da_Itu_em_pacientes_pediatricos\" >Fatores de risco da Itu em pacientes pedi\u00e1tricos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Manifestacao_Clinica_da_ITU_em_pacientes_pediatricos\" >Manifesta\u00e7\u00e3o Cl\u00ednica da ITU em pacientes pedi\u00e1tricos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#ITU_Disfuncao_vesical_e_intestinal_DVI\" >ITU: Disfun\u00e7\u00e3o vesical e intestinal (DVI)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Como_realizar_o_diagnostico_da_ITU_em_pacientes_pediatricos\" >Como realizar o diagn\u00f3stico da ITU em pacientes pedi\u00e1tricos?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Tratamento_da_ITU_em_pacientes_pediatricos\" >Tratamento da ITU em pacientes pedi\u00e1tricos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Investigacao_da_ITU_em_pacientes_pediatricos_com_exames_de_imagem\" >Investiga\u00e7\u00e3o da ITU em pacientes pedi\u00e1tricos com exames de imagem<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#Quimioprofilaxia_da_ITU_em_pacientes_pediatricos\" >Quimioprofilaxia da ITU em pacientes pedi\u00e1tricos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#O_metodo_da_sua_aprovacao\" >O m\u00e9todo da sua aprova\u00e7\u00e3o!<\/a><\/li><\/ul><\/nav><\/div>\n<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5-1024x576.jpg\" alt=\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/1-5.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p style=\"box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #7a7a7a; font-family: Poppins, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">\u00a0<\/p>\n<p style=\"box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #7a7a7a; font-family: Poppins, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">Saiba as \u00faltimas atualiza\u00e7\u00f5es sobre ITU na Pediatria divulgadas pela Sociedade Brasileira de Pediatria (SBP).<\/p>\t\t\n\t\t\t<h4>\n\t\t\t\tSum\u00e1rio\t\t\t<\/h4>\n\t\t<p><\/p>\n<p>Em Setembro de 2023, a SBP publicou um novo documento cient\u00edfico sobre atualiza\u00e7\u00e3o sobre a <strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\">Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria,<\/strong> que tamb\u00e9m \u00e9 um dos assuntos mais cobrados nas provas de resid\u00eancia.<\/p>\n<p><\/p>\t\t\n\t\t<h2 id=\"h-definicao-o-que-e-a-itu\" style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Definicao_o_que_e_a_ITU\"><\/span><strong>Defini\u00e7\u00e3o: o que \u00e9 a ITU?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>De acordo com a SBP, a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU), define-se como um processo inflamat\u00f3rio sintom\u00e1tico gerado por um germe patog\u00eanico \u00fanico no sistema urin\u00e1rio. Ainda de acordo com a Sociedade, trata-se da segunda infec\u00e7\u00e3o mais prevalente em crian\u00e7as de at\u00e9 sete anos. Al\u00e9m disso, a ITU tem alto risco de recorr\u00eancia dentro do primeiro ano ap\u00f3s a primeira infec\u00e7\u00e3o. Inclusive, acomete de forma igualit\u00e1ria beb\u00eas e crian\u00e7as de ambos os sexos.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"277\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531-1024x355.jpg\" alt=\"fique alerta picos de incid\u00eancia itu na pediatria atualiza\u00e7\u00f5es sobre itu na pediatria\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531-1024x355.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531-300x104.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531-768x266.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531-1536x532.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/6-e1708115877531.jpg 1689w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<h2><span class=\"ez-toc-section\" id=\"Fatores_de_risco_da_Itu_em_pacientes_pediatricos\"><\/span>Fatores de risco da Itu em pacientes pedi\u00e1tricos<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"414\" height=\"394\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-5.png\" alt=\"Fatores de risco ITU na pediatria 2023\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-5.png 414w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-5-300x286.png 300w\" sizes=\"auto, (max-width: 414px) 100vw, 414px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>SBP, 2023.<\/p>\t\t\n\t\t<h2 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Manifestacao_Clinica_da_ITU_em_pacientes_pediatricos\"><\/span><strong>Manifesta\u00e7\u00e3o Cl\u00ednica da <\/strong><strong>ITU em pacientes pedi\u00e1tricos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p style=\"box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #7a7a7a; font-family: Poppins, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">Segundo as atualiza\u00e7\u00f5es sobre ITU na Pediatria, levar em considera\u00e7\u00e3o a idade e intensidade dos sintomas \u00e9 necess\u00e1rio ao analisar o quadro cl\u00ednico. Isso porque a ITU pode se apresentar com quadros leves at\u00e9 quadros graves com bacteremia. Al\u00e9m disso, lembrar que a ITU \u00e9 a principal causa de\u00a0<strong style=\"box-sizing: border-box; font-weight: bolder;\">Febre Sem Sinais Localizat\u00f3rios (FSSL)<\/strong>\u00a0em rec\u00e9m-nascidos e lactentes \u00e9 importante.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"638\" height=\"315\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-4.png\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria Manifesta\u00e7\u00e3o Cl\u00ednica Ao pensarmos no quadro cl\u00ednico precisamos levar em considera\u00e7\u00e3o a idade e intensidade dos sintomas, visto que a ITU pode se apresentar com quadros leves at\u00e9 qaudros graves cm bacteremia. Al\u00e9m disso, precisamos lembrar que a ITU \u00e9 a principal causa de **Febre Sem Sinais Localizat\u00f3rios (FSSL)** em rec\u00e9m-nascidos e lactentes.\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-4.png 638w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-4-300x148.png 300w\" sizes=\"auto, (max-width: 638px) 100vw, 638px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>SBP, 2023.<\/p>\t\t\n\t\t<h2><span class=\"ez-toc-section\" id=\"ITU_Disfuncao_vesical_e_intestinal_DVI\"><\/span><strong>ITU: Disfun\u00e7\u00e3o vesical e intestinal (DVI)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>A DVI est\u00e1 presente em at\u00e9 metade das crian\u00e7as que apresentam o primeiro epis\u00f3dio de ITU. Al\u00e9m disso, pode ser definida a partir do padr\u00e3o miccional anormal para a idade, persistente, evidenciado ap\u00f3s o controle esfincteriano e pela aus\u00eancia de altera\u00e7\u00f5es neurol\u00f3gicas.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"636\" height=\"442\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-3-1.png\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria Disfun\u00e7\u00e3o vesical e intestinal (DVI) A DVI est\u00e1 presente em at\u00e9 metade das crian\u00e7as que apresentam o primeiro epis\u00f3dio de ITU, e pode ser definida a partir do padr\u00e3o miccional anormal para a idade, persistente, evidenciado ap\u00f3s o controle esfincteriano e pela aus\u00eancia de altera\u00e7\u00f5es neurol\u00f3gicas.\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-3-1.png 636w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-3-1-300x208.png 300w\" sizes=\"auto, (max-width: 636px) 100vw, 636px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>SBP, 2023.\u00a0<\/p>\t\t\n\t\t<h2 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Como_realizar_o_diagnostico_da_ITU_em_pacientes_pediatricos\"><\/span><strong>Como realizar o diagn\u00f3stico da <\/strong><strong>ITU em pacientes pedi\u00e1tricos<\/strong><strong>?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>As atualiza\u00e7\u00f5es sobre ITU na pediatria indicam que o diagn\u00f3stico \u00e9 realizado a partir da suspei\u00e7\u00e3o cl\u00ednica associado a exames que comprovem ou sugiram a ocorr\u00eancia de ITU. Dessa forma, a\u00a0suspeita diagn\u00f3stica ou ITU prov\u00e1vel\u00a0se d\u00e1 pela realiza\u00e7\u00e3o do sedimento urin\u00e1rio com a evid\u00eancia de:<\/p>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\u00a0<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Pi\u00faria &gt; 5-10 leuco\/campo;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Nitrito positivo;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Esterase leucocit\u00e1ria positiva;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Bacteri\u00faria<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Assim sendo, o\u00a0diagn\u00f3stico de ITU confirmada\u00a0s\u00f3 pode ser estabelecida por\u00a0Urocultura,\u00a0padr\u00e3o-ouro para o diagn\u00f3stico. Por isso,\u00a0sempre\u00a0solicit\u00e1-la diante de uma suspeita \u00e9 essencial.<\/p>\n<p>\u00a0<\/p>\n<p>A\u00a0urocultura\u00a0ser\u00e1 positiva a depender do\u00a0resultado + forma de coleta:<\/p>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Pun\u00e7\u00e3o suprap\u00fabica (PSP): qualquer contagem de col\u00f4nias<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Cateterismo vesical: &gt;50.000 UFC\/ml<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Jato intermedi\u00e1rio: &gt; 100 mil UFC\/m<\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"404\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728-1024x517.jpg\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria Sem controle esfincteriano: cateterismo ou pun\u00e7\u00e3o suprap\u00fabica ou *clean catch* - *Clean Catch*: hidrata\u00e7\u00e3o + higieniza\u00e7\u00e3o + est\u00edmulo \u00e0 mic\u00e7\u00e3o; - Com controle esfincteriano: Jato m\u00e9dio. **!!!! OBS:** O **SACO COLETOR** tem utilidade cl\u00ednica se **vier negativo,** por ter um alto valor preditivo negativo, caso venha positivo dever\u00e1 ser coletado por m\u00e9todo adequado.\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728-1024x517.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728-300x151.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728-768x388.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728-1536x775.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Blog-MedCof-15-e1708116299728.jpg 1603w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"596\" height=\"401\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-2.png\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria O **diagn\u00f3stico de ITU confirmada** s\u00f3 pode ser estabelecida por **UROCULTURA,** padr\u00e3o-ouro para o diagn\u00f3stico e por isso SEMPRE deve ser solicitada diante de uma suspeita. A **urocultura** ser\u00e1 positiva a depender do **resultado + forma de coleta:** - Pun\u00e7\u00e3o suprap\u00fabica (PSP): qualquer contagem de col\u00f4nias - Cateterismo vesical: &gt;50.000 UFC\/ml - Jato intermedi\u00e1rio: &gt; 100 mil UFC\/m\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-2.png 596w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-2-300x202.png 300w\" sizes=\"auto, (max-width: 596px) 100vw, 596px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>SBP, 2023.\u00a0<\/p>\t\t\n\t\t<h2 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Tratamento_da_ITU_em_pacientes_pediatricos\"><\/span><strong>Tratamento da ITU em pacientes pedi\u00e1tricos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<h4 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><strong>Quando internar?<\/strong><\/h4>\n<p>\u00a0<\/p>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">&lt; 2 meses;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Pacientes com sinais de sepse\/toxemiados;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Risco de n\u00e3o ades\u00e3o;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><strong>Tratamento emp\u00edrico<\/strong><\/h4>\n<p>\u00a0<\/p>\n<p>O tratamento dever\u00e1 ser iniciado na presen\u00e7a de\u00a0ITU prov\u00e1vel\u00a0at\u00e9 poder ser guiado com o resultado da urocultura, sendo necess\u00e1rio realizar a cobertura da *E.coli (*principal ag. etiol\u00f3gico). Deve-se lembrar ainda que meninos possuem maior risco de ter infec\u00e7\u00e3o por\u00a0<em>Proteus<\/em>\u00a0e por isso, podem apresentar quadros com maior gravidade<\/p>\n<p>\u00a0<\/p>\n<h4><strong>Via de administra\u00e7\u00e3o<\/strong><\/h4>\n<p>\u00a0<\/p>\n<p>Em pacientes maiores de 3 meses com toler\u00e2ncia \u00e0 ingesta oral, a via oral \u00e9 preferencial.<\/p>\n<p>\u00a0<\/p>\n<h4><strong>Tempo de tratamento\u00a0<\/strong><\/h4>\n<p>\u00a0<\/p>\n<p>A\u00a0reavalia\u00e7\u00e3o\u00a0deve ser feita entre 48 e 72 horas avaliando a necessidade de escalonar, na falta de resposta terap\u00eautica; ou descalonar, quando h\u00e1 uma boa resposta. O tempo de terapia varia segundo as diretrizes mundiais de 7 a 14 dias.<\/p>\n<p>\u00a0<\/p>\n<p>Lembre-se de solicitar Creatinina s\u00e9rica, especialmente se for utilizar aminoglicos\u00eddeo.\u00a0A nova diretriz faz uma ressalva\u00a0para evitar o uso de nitrofuranto\u00edna e \u00e1cido nalix\u00eddico, devido ao baixo b\u00edvel de concentra\u00e7\u00e3o no par\u00eanquima renal, sendo contraindicados na presen\u00e7a de febre (aumento do risco de ser pielonefrite).<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"599\" height=\"422\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-6.png\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria antibi\u00f3ticos comumente usados no tratamento de infec\u00e7\u00e3o urin\u00e1ria\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-6.png 599w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-6-300x211.png 300w\" sizes=\"auto, (max-width: 599px) 100vw, 599px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>SBP, 2023.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>A nova diretriz faz uma ressalva para evitar o uso de nitrofuranto\u00edna e \u00e1cido nalix\u00eddico, devido ao baixo b\u00edvel de concentra\u00e7\u00e3o no par\u00eanquima renal, sendo contraindicados na presen\u00e7a de febre (aumento do risco de ser pielonefrite).<!-- notionvc: 7a791bf2-e63f-4611-87f4-8f67fb83c256 --><\/p>\t\t\n\t\t<h2 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Investigacao_da_ITU_em_pacientes_pediatricos_com_exames_de_imagem\"><\/span><strong>Investiga\u00e7\u00e3o da ITU em pacientes pedi\u00e1tricos com exames de imagem<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>O objetivo \u00e9 descartar malforma\u00e7\u00f5es do trato urin\u00e1rio que possam implicar em piores desfechos no futuro.<\/p>\n<p>\u00a0<\/p>\n<h4 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\">USG de VVUU<\/h4>\n<p>\u00a0<\/p>\n<p>\u00c9 o exame de avalia\u00e7\u00e3o morfol\u00f3gica inicial na investiga\u00e7\u00e3o morfol\u00f3gica, especialmente em menores de 2 anos com suspeita de pielonefrite (presen\u00e7a de febre).<\/p>\n<p>\u00a0<\/p>\n<h4 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\">Cintilografia com DMSA<\/h4>\n<p>\u00a0<\/p>\n<p>Utilizado na pesquisa de cicatriz renal, e avalia\u00e7\u00e3o da fun\u00e7\u00e3o renal.<\/p>\n<p>\u00a0<\/p>\n<h4 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\">Urerocistografia miccional (UCM)<\/h4>\n<p>\u00a0<\/p>\n<p>Importante para avaliar refluxo vesicoureteral e para descartar VUP, geralmente apontada nas quest\u00f5es como meninos que no per\u00edodo intra\u00fatero apresentava hidronefrose bilateral.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"155\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345-1024x199.jpg\" alt=\"A SBP afirma que protocolos agressivos aumentam a sensibilidade diagn\u00f3stica de RVU e cicatriz renal, mas com benef\u00edcio question\u00e1vel, portanto deve-se descartar as situa\u00e7\u00f5es cl\u00ednicas primeiramente antes de iniciar terapias mais intensivas como podemos ver abaixo\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345-1024x199.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345-300x58.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345-768x150.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345-1536x299.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/8-e1708116632345.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"565\" height=\"477\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled.png\" alt=\"atualiza\u00e7\u00f5es sobre itu na pediatria fluxograma de investiga\u00e7\u00e3o de infec\u00e7\u00e3o urin\u00e1ria - fonte SBP 2023\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled.png 565w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/Untitled-300x253.png 300w\" sizes=\"auto, (max-width: 565px) 100vw, 565px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<h2 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Quimioprofilaxia_da_ITU_em_pacientes_pediatricos\"><\/span><strong>Quimioprofilaxia da ITU em pacientes pedi\u00e1tricos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>Objetivo:\u00a0reduzir recorr\u00eancia e prevenir forma\u00e7\u00e3o ou piora de cicatriz renal.<\/p>\n<p>\u00a0<\/p>\n<p>Est\u00e1\u00a0indicado\u00a0em:<\/p>\n<p>\u00a0<\/p>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Altera\u00e7\u00f5es na ultrassonografia (antenatal ou atual);<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">ITU febril com PCR positivo;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px; list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">RVU graus 4 ou 5;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-size: 16px;\">\n<li style=\"font-size: 16px;\">Uropatias obstrutivas;<\/li>\n<li>ITU recorrentes<br \/>\n<ul style=\"font-size: 16px;\">\n<li>1 epis\u00f3dio de cistite + 1 pielonefrite<\/li>\n<li>\u2265 3 epis\u00f3dios de cistite<\/li>\n<li>\u2265 2 epis\u00f3dios de pielonefrite<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>OBS: N\u00e3o deve ser utilizada em reinfec\u00e7\u00e3o (novo epis\u00f3dio de ITU &lt; 2 semanas) !<\/p>\n<p>\u00a0<\/p>\n<p>Como?<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li>Drogas mais utilizadas:\n<ul>\n<li>&lt; 6 semanas de vida : Cefalexina;<\/li>\n<li>&gt; 6 semanas de vida: Nitrofuranto\u00edna ou Sulfametoxazol e trimetroprim;<\/li>\n<\/ul>\n<\/li>\n<li>De 1\/3 ate 1\/2 dose terap\u00eautica;<\/li>\n<li>1 x\/dia (preferencialmente \u00e0 noite).<\/li>\n<\/ul>\t\t\n\t\t<h2><span class=\"ez-toc-section\" id=\"O_metodo_da_sua_aprovacao\"><\/span><strong>O m\u00e9todo da sua aprova\u00e7\u00e3o!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00a0<\/p>\n<p>Se voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o Grupo Medcof e a metodologia que j\u00e1 aprovou<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">\u00a0mais de 10 mil residentes\u00a0<\/a>pelo pa\u00eds. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:\u00a0<\/p>\t\t\n\t\t<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>","protected":false},"excerpt":{"rendered":"<p>Saiba as \u00faltimas atualiza\u00e7\u00f5es sobre ITU na Pediatria divulgadas pela Sociedade Brasileira de Pediatria (SBP),  um dos assuntos mais cobrados nas provas de resid\u00eancia. <\/p>\n","protected":false},"author":6,"featured_media":18845,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258,120],"tags":[965,966,964,963],"ppma_author":[3609],"class_list":{"0":"post-18841","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-atualizacoes","8":"category-pediatria","9":"tag-atualizacoes-sobre-itu","10":"tag-atualizacoes-sobre-itu-na-pediatria","11":"tag-infeccao-do-trato-urinario","12":"tag-itu-na-pediatria"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Atualiza\u00e7\u00f5es de ITU na Pediatria 2023 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023\" \/>\n<meta property=\"og:description\" content=\"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-02-16T21:06:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"J\u00falia Moreira\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"J\u00falia Moreira\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/\"},\"author\":{\"name\":\"J\u00falia Moreira\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/1375e0ce724529d7a1d8156ea7f8ceaa\"},\"headline\":\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023\",\"datePublished\":\"2024-02-16T21:06:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/\"},\"wordCount\":951,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/2-8.jpg\",\"keywords\":[\"atualiza\u00e7\u00f5es sobre ITU\",\"Atualiza\u00e7\u00f5es sobre ITU na Pediatria\",\"infec\u00e7\u00e3o do trato urin\u00e1rio\",\"ITU na pediatria\"],\"articleSection\":[\"Atualiza\u00e7\u00f5es\",\"Pediatria\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/\",\"name\":\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023 - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/2-8.jpg\",\"datePublished\":\"2024-02-16T21:06:10+00:00\",\"description\":\"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/2-8.jpg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/2-8.jpg\",\"width\":1920,\"height\":1080,\"caption\":\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacoes-de-itu-na-pediatria-2023\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/1375e0ce724529d7a1d8156ea7f8ceaa\",\"name\":\"J\u00falia Moreira\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png6a0083ac34a0445de97d55fae63a4a41\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png\",\"caption\":\"J\u00falia Moreira\"},\"description\":\"Estudante do 8\u00ba semestre de Jornalismo na ECA-USP, f\u00e3 de filmes de terror e m\u00fasica popular sul-coreana.\",\"sameAs\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/\"],\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/julia\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023 - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/","og_locale":"pt_BR","og_type":"article","og_title":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023","og_description":"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2024-02-16T21:06:10+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg","type":"image\/jpeg"}],"author":"J\u00falia Moreira","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"J\u00falia Moreira","Est. tempo de leitura":"10 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/"},"author":{"name":"J\u00falia Moreira","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/1375e0ce724529d7a1d8156ea7f8ceaa"},"headline":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023","datePublished":"2024-02-16T21:06:10+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/"},"wordCount":951,"commentCount":0,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg","keywords":["atualiza\u00e7\u00f5es sobre ITU","Atualiza\u00e7\u00f5es sobre ITU na Pediatria","infec\u00e7\u00e3o do trato urin\u00e1rio","ITU na pediatria"],"articleSection":["Atualiza\u00e7\u00f5es","Pediatria"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/","name":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023 - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg","datePublished":"2024-02-16T21:06:10+00:00","description":"Confira as \u00faltimas atualiza\u00e7\u00f5es sobre a Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU) na Pediatria, um dos assuntos mais cobrados nas provas de re...","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/02\/2-8.jpg","width":1920,"height":1080,"caption":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023"},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-de-itu-na-pediatria-2023\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Atualiza\u00e7\u00f5es de ITU na Pediatria 2023"}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/1375e0ce724529d7a1d8156ea7f8ceaa","name":"J\u00falia Moreira","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/12\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png6a0083ac34a0445de97d55fae63a4a41","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/12\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/12\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png","caption":"J\u00falia Moreira"},"description":"Estudante do 8\u00ba semestre de Jornalismo na ECA-USP, f\u00e3 de filmes de terror e m\u00fasica popular sul-coreana.","sameAs":["https:\/\/www.grupomedcof.com.br\/"],"url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/julia\/"}]}},"authors":[{"term_id":3609,"user_id":6,"is_guest":0,"slug":"julia","display_name":"J\u00falia Moreira","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/12\/cropped-Captura-de-tela-2023-12-15-094946-96x96.png","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/18841","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=18841"}],"version-history":[{"count":0,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/18841\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/18845"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=18841"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=18841"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=18841"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=18841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}