{"id":1751,"date":"2025-12-04T15:53:27","date_gmt":"2025-12-04T15:53:27","guid":{"rendered":"https:\/\/videoteca.svpediatria.org\/?page_id=1751"},"modified":"2026-01-13T00:53:18","modified_gmt":"2026-01-13T00:53:18","slug":"nefrologia","status":"publish","type":"page","link":"https:\/\/videoteca.svpediatria.org\/?page_id=1751","title":{"rendered":"Nefrolog\u00eda"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1751\" class=\"elementor elementor-1751\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3e56f6d e-flex e-con-boxed e-con e-parent\" data-id=\"3e56f6d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4ce7ebe e-grid e-con-full e-con e-child\" data-id=\"4ce7ebe\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-45bdad1 e-con-full e-flex e-con e-child\" data-id=\"45bdad1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-dcc587a e-grid e-con-full e-con e-child\" data-id=\"dcc587a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9670b01 elementor-widget elementor-widget-image\" data-id=\"9670b01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/?page_id=624\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"171\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg\" class=\"attachment-medium size-medium wp-image-704\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1.jpg 700w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f0f1bcb e-flex e-con-boxed e-con e-parent\" data-id=\"f0f1bcb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-44f6f9a elementor-widget elementor-widget-text-editor\" data-id=\"44f6f9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\"><img decoding=\"async\" class=\"wp-image-758  aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-300x268.png\" alt=\"\" width=\"201\" height=\"180\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-300x268.png 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-1024x916.png 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-768x687.png 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-1536x1373.png 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Nefro-2048x1831.png 2048w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/><span style=\"color: #68c4e3;\">Nefrolog\u00eda<\/span><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2844d70 e-flex e-con-boxed e-con e-parent\" data-id=\"2844d70\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-73c067c e-con-full e-flex e-con e-child\" data-id=\"73c067c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-2f3e1bc e-con-full e-flex e-con e-child\" data-id=\"2f3e1bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-04332eb e-con-full e-flex e-con e-child\" data-id=\"04332eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f68d36 elementor-widget elementor-widget-n-accordion\" data-id=\"9f68d36\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1670\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1670\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> ITU <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-medical\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-153 31V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm64 160v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 0-8-3.6-8-8v-56h-56c-4.4 0-8-3.6-8-8v-48c0-4.4 3.6-8 8-8h56v-56c0-4.4 3.6-8 8-8h48c4.4 0 8 3.6 8 8v56h56c4.4 0 8 3.6 8 8z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-4485b1b e-con-full e-flex e-con e-child\" data-id=\"4485b1b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-7b74474 e-grid e-con-boxed e-con e-child\" data-id=\"7b74474\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1dd6ee4 elementor-widget elementor-widget-image\" data-id=\"1dd6ee4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"ITU\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTc2NiwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzEyXC9JVFUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-1024x614.jpg\" class=\"attachment-large size-large wp-image-1766\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba055be e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"ba055be\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"195057086\" aria-label=\"Pesta\u00f1as. 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xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 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20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tInformaci\u00f3n Padres\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-19505708614\" data-tab-title-id=\"e-n-tab-title-19505708614\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"14\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-19505708614\" style=\"--n-tabs-title-order: 14;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570861\" id=\"e-n-tab-content-1950570861\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-5709137 e-con-full e-grid e-con e-child\" data-id=\"5709137\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-660d731 e-con-full e-flex e-con e-child\" data-id=\"660d731\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-ed4887b e-con-full e-flex e-con e-child\" data-id=\"ed4887b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a391de5 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"a391de5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Definici\u00f3n y etiolog\u00eda<\/b><\/span><\/p><p><strong>Definici\u00f3n:\u00a0<\/strong>Es el conjunto de signos y s\u00edntomas producto de la invasi\u00f3n, colonizaci\u00f3n y multiplicaci\u00f3n de microorganismos a lo largo de la v\u00eda urinaria.<\/p><p><strong>Etiolog\u00eda:\u00a0<\/strong>Enterobacterias son los uropat\u00f3genos m\u00e1s frecuentes, principalmente por Escherichia coli (85%). Otros microorganismos pueden ser Proteus mirabilis y Klebsiella pneumonie. Considerar etolog\u00eda por grupo etario, en menores de un mes Enterobacterias, Enterococos sp, Lysteria monocytogenes, Streptococcus agalactiae\u00a0 \u00a0Entre uno y tres meses Enterobacterias Enterococos sp. Mayores de tres meses Enterobacterias. En adolescentes con inicio de vida sexual considerar Staphylococos saprophyticus. Casos especiales como adenovirus (cistitis hemorr\u00e1gica).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570862\" id=\"e-n-tab-content-1950570862\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-41b4fe1 e-grid e-con-boxed e-con e-child\" data-id=\"41b4fe1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-f95f323 e-con-full e-grid e-con e-child\" data-id=\"f95f323\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-38224d0 elementor-widget elementor-widget-text-editor\" data-id=\"38224d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Fisiopatolog\u00eda<\/b><\/span><\/p><p><strong>Ocurre a trav\u00e9s de tres mecanismos:<\/strong><\/p><ol><li>Ascendente: es la m\u00e1s com\u00fan en lactantes menores hasta la adolescencia.<\/li><li>Hemat\u00f3geno: ocurre principalmente en neonatos.<\/li><li>Continuidad: es el menos com\u00fan, generalmente se produce en pacientes que han sido intervenidos quir\u00fargicamente o aquellos con presencia de fistulas renales.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570863\" id=\"e-n-tab-content-1950570863\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-222109c e-grid e-con-boxed e-con e-child\" data-id=\"222109c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-3030d05 e-con-full e-flex e-con e-child\" data-id=\"3030d05\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76ba20c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"76ba20c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Diagn\u00f3stico<\/b><\/span><\/p><ul><li><strong>Anamnesis: <\/strong>Preguntar factores de riesgo y manifestaciones cl\u00ednicas urinarias y sist\u00e9micas.<\/li><li><strong>Uroan\u00e1lisis:<\/strong> Depender\u00e1 de los hallazgos encontrados, interpretar m\u00e1s de 10 leucocitos por campo en orina no centrifugada o m\u00e1s de 5 leucocitos por campo de orina centrifugada. Presencia de bacterias en orina, as\u00ed como la prueba de nitritos y esterasa.<p>Tabla 1. Tira Reactiva. Conducta recomendada.<\/p><\/li><li><table style=\"height: 516px;\" width=\"102\"><tbody><tr><td width=\"467\">TIRA REACTIVA<\/td><td width=\"467\">SOSPECHA DIAGNOSTICA<\/td><\/tr><tr><td width=\"467\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Nitritos (+) Esterasa Leucocitaria (+)<\/td><td width=\"467\">ITU muy probable<strong>.<\/strong> Recoger urocultivo e iniciar tratamiento antibi\u00f3tico emp\u00edrico<\/td><\/tr><tr><td width=\"467\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Nitritos (+) Esterasa leucocitaria (-)<\/td><td width=\"467\">ITU muy probable. Recoger urocultivo e iniciar tratamiento<\/td><\/tr><tr><td width=\"467\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Nitritos (-) Esterasa Leucocitaria (+)<\/td><td width=\"467\">Puede ser ITU o no. Manejo basado en la cl\u00ednica.<\/td><\/tr><tr><td width=\"467\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Nitritos (-) Esterasa leucocitaria (-)<\/td><td width=\"467\">ITU improbable. No iniciar tratamiento<\/td><\/tr><\/tbody><\/table><ul><li><strong>Urocultivo: <\/strong>Aislara el microorganismo causante de los signos y s\u00edntomas, as\u00ed como dirigir la terapia antimicrobiana especifica.<\/li><\/ul><p><strong><br \/>Tabla 2.<\/strong> <strong>M\u00e9todos de recogida de la orina<\/strong><\/p><table width=\"935\"><tbody><tr><td width=\"466\">\u00a0<\/td><td width=\"468\"><strong>Urocultivo positivo<\/strong><\/td><\/tr><tr><td width=\"466\">Chorro miccional medio limpio<\/td><td width=\"468\">&gt;50000-100000UFC\/ml de un germen<\/td><\/tr><tr><td width=\"466\">Bolsa Adhesiva<\/td><td width=\"468\">No recomendado como toma de muestra para urocultivo.<\/td><\/tr><tr><td width=\"466\">Cateterismo vesical<\/td><td width=\"468\">&gt;o= 10000 UFC\/ml de un germen.<\/td><\/tr><tr><td width=\"466\">Punci\u00f3n suprap\u00fabica<\/td><td width=\"468\">Cualquier crecimiento de g\u00e9rmenes<\/td><\/tr><\/tbody><\/table><ul><li><strong>Pruebas de imagen:<\/strong><\/li><\/ul><ol><li>Ecograf\u00eda renal: orienta en el diagn\u00f3stico de alguna malformaci\u00f3n anat\u00f3mica o presencia de otras patolog\u00edas como litiasis renal.<\/li><li>Uretrocistografia miccional: Gold est\u00e1ndar para el diagn\u00f3stico de reflujo vesicoureteral.<\/li><li><strong>Gammagraf\u00eda Renal Tc99 DMSA: <\/strong>para detectar cicatrices renales, especialmente para pacientes con infecciones del tracto urinario a repetici\u00f3n.ALGORITMO DE MANEJO<br \/>Proceso diagn\u00f3stico: Sospecha de Infecci\u00f3n del tracto urinario realizar:<br \/>1. Historia cl\u00ednica y exploraci\u00f3n f\u00edsica<br \/>2. Interrogar factores de riesgo de ITU<br \/>3. Solicitar uroan\u00e1lisis<br \/>4. Si esterasa +nitritos \u2192 Iniciar antibioticoterapia emp\u00edrica<br \/>5. Solicitar urocultivo<br \/>6. Considerar hematolog\u00eda completa, prote\u00edna C reactiva y otros reactantes de acuerdo con manifestaciones cl\u00ednicas.<br \/>7. Si hay ITU recurrente considerar 7 y 8.<br \/>8. Pruebas de imagen<br \/>9. Derivar a especialista si procede.<\/li><\/ol><\/li><\/ul><p>ALGORITMO DE MANEJO<\/p><p><strong>\u00a0 Proceso diagn\u00f3stico: Sospecha de Infecci\u00f3n del tracto urinario realizar:<\/strong><\/p><ol><li>Historia cl\u00ednica y exploraci\u00f3n f\u00edsica<\/li><li>Interrogar factores de riesgo de ITU<\/li><li>Solicitar uroan\u00e1lisis<\/li><li>Si esterasa +nitritos \u2192 Iniciar antibioticoterapia emp\u00edrica<\/li><li>Solicitar urocultivo<\/li><li>Considerar hematolog\u00eda completa, prote\u00edna C reactiva y otros reactantes de acuerdo con manifestaciones cl\u00ednicas.<\/li><li>Si hay ITU recurrente considerar 7 y 8.<\/li><li>Pruebas de imagen<\/li><li>Derivar a especialista si procede.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570864\" id=\"e-n-tab-content-1950570864\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-f4950f6 e-flex e-con-boxed e-con e-child\" data-id=\"f4950f6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-076a93e e-con-full e-flex e-con e-child\" data-id=\"076a93e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b28088e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b28088e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Factores de riesgo<\/b><\/span><\/p><p>Los principales Factores de riesgo asociados a Infecci\u00f3n del tracto urinario incluyen:<\/p><ul><li>Anomal\u00edas cong\u00e9nitas del ri\u00f1\u00f3n y v\u00edas urinarias. RVU.<\/li><li>Alteraciones funcionales del tracto urinario.<\/li><li>Disfunci\u00f3n vesical.<\/li><li>Estre\u00f1imiento.<\/li><li>Alteraciones metab\u00f3licas, Hipercalciuria, hiperuricosuria, hipocitraturia litiasis renal.<\/li><li>Mala higiene y h\u00e1bitos inadecuados, actividad sexual.<\/li><li>Fimosis, adherencia balanoprepucial, sinequia de labios menores.<\/li><li>Sonda vesical, vejiga neurog\u00e9nica, mielomeningocele.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570865\" id=\"e-n-tab-content-1950570865\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-186f1f5 e-flex e-con-boxed e-con e-child\" data-id=\"186f1f5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-7f651da e-con-full e-flex e-con e-child\" data-id=\"7f651da\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a4a3898 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"a4a3898\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Manifestaciones cl\u00ednicas<\/b><\/span><\/p><p>Tabla. 3<\/p><table style=\"height: 676px;\" width=\"157\"><tbody><tr><td width=\"233\">GRUPO DE EDAD<\/td><td width=\"233\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mas frecuentes<\/td><td width=\"233\">&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-&gt;<\/td><td width=\"233\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Menos frecuentes<\/td><\/tr><tr><td width=\"233\">Lactantes menores de tres meses<\/td><td width=\"233\"><p>Fiebre<\/p><p><span style=\"font-size: 0.9em;\">V\u00f3mitos<\/span><\/p><p>Letargia<\/p><p>Irritabilidad<\/p><\/td><td width=\"233\"><p>P\u00e9rdida del apetito<\/p><p>Falla de medro<\/p><\/td><td width=\"233\"><p>Ictericia<\/p><p>Hematuria<\/p><p>Orina con mal olor<\/p><\/td><\/tr><tr><td width=\"233\">Mayores de 3 meses preescolares\u00a0\u00a0\u00a0\u00a0 y escolares<\/td><td width=\"233\"><p>\u00a0 Preverbal: Fiebre<\/p><\/td><td width=\"233\"><p>V\u00f3mitos<\/p><p>P\u00e9rdida del apetito<\/p><\/td><td width=\"233\"><p>Letargia<\/p><p>Irritabilidad<\/p><p>Hematuria<\/p><p>Falla de medro<\/p><p>Orina con mal olor<\/p><\/td><\/tr><tr><td width=\"233\">\u00a0<\/td><td width=\"233\"><p>\u00a0Verbal: Aumento de la frecuencia<\/p><p>Disuria<\/p><p>Tenesmo<\/p><\/td><td width=\"233\"><p>Micci\u00f3n disfuncional<\/p><p>Incontinencia<\/p><p>Dolor abdominal<\/p><\/td><td width=\"233\"><p>Fiebre<\/p><p>Malestar<\/p><p>V\u00f3mitos<\/p><p>Hematuria<\/p><p>Orina con mal olor, turbia<\/p><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570866\" id=\"e-n-tab-content-1950570866\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-b08756d e-flex e-con-boxed e-con e-child\" data-id=\"b08756d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-d366f38 e-con-full e-flex e-con e-child\" data-id=\"d366f38\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f58e43 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7f58e43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Clasificaci\u00f3n<\/b><\/span><\/p><p>Se clasifican seg\u00fan la localizaci\u00f3n anat\u00f3mica: (baja o cistitis) o (altas pielonefritis).<\/p><p>De acuerdo con el episodio:<\/p><p>Primo infecci\u00f3n si es el primer episodio<\/p><p>Recurrente que a su vez puede subdividirse en persistente o reinfecci\u00f3n.<\/p><p>Bacteriuria Asintom\u00e1tica: presencia de urocultivo positivo en ausencia de marcadores inflamatorios en el examen de orina y el paciente sin sintomatolog\u00eda cl\u00ednica.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1768 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Clasificacion.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570867\" id=\"e-n-tab-content-1950570867\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-f61c26b e-flex e-con-boxed e-con e-child\" data-id=\"f61c26b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-662d51d e-con-full e-flex e-con e-child\" data-id=\"662d51d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2fdf7f7 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"2fdf7f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tratamiento<\/b><\/span><\/p><p>Se individualiza cada paciente y se establecen estrategias para decidir el lugar de tratamiento ambulatorio u hospitalario. Existen indicaciones precisas para decidir la terapia parenteral, como lo son reci\u00e9n nacidos, lactantes menores, sepsis, inmunocompromiso grave, intolerancia la v\u00eda oral, mala respuesta al antibi\u00f3tico v\u00eda oral, malformaciones urol\u00f3gicas conocidas como reflujo de alto grado febril. Hay que recordar que el tratamiento de la ITU es en dos etapas, al inicio la terapia emp\u00edrica la cual se debe iniciar luego de tomar adecuadamente una muestra de orina para urocultivo y la segunda etapa es la terapia dirigida al obtener a las 72 horas el resultado del urocultivo y antibiograma.<\/p><p><strong>\u00a0<\/strong><strong>\u00a0Tratamiento por Escenarios <\/strong><strong><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1769 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_1.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/strong><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1770 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_2.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1771 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-4_3.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570868\" id=\"e-n-tab-content-1950570868\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-0475669 e-flex e-con-boxed e-con e-child\" data-id=\"0475669\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-2d0b400 e-con-full e-flex e-con e-child\" data-id=\"2d0b400\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76ac319 elementor-widget elementor-widget-text-editor\" data-id=\"76ac319\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Profilaxis<\/b><\/span><\/p><p><strong>CONSIDERAR EN:<\/strong> Pacientes seleccionados con ITU recurrentes, su uso es controvertido por inducir resistencia bacteriana. En la actualidad se reserva para RVU de alto grado.<\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1772 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU-Tabla-5.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-1950570869\" id=\"e-n-tab-content-1950570869\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-dd8b35e e-flex e-con-boxed e-con e-child\" data-id=\"dd8b35e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-7ba3534 e-con-full e-flex e-con e-child\" data-id=\"7ba3534\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2eb09d1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"2eb09d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Uso de vitaminas<\/b><\/span><\/p><ul><li><strong>Vitamina A:<\/strong> 50,000 UI por 2 semanas<\/li><li><strong>Vitamina D:<\/strong> 400 UI &#8211; 1 gota por kilo por 3 meses.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-19505708610\" id=\"e-n-tab-content-19505708610\" data-tab-index=\"10\" style=\"--n-tabs-title-order: 10;\" class=\" elementor-element elementor-element-5186520 e-flex e-con-boxed e-con e-child\" data-id=\"5186520\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-c4f7817 e-con-full e-flex e-con e-child\" data-id=\"c4f7817\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0910533 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"0910533\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Nuevas actualizaciones<\/b><\/span><\/p><p><strong>VACUNACI\u00d3N CONTRA E. Coli<\/strong> (en estudio)<\/p><ul><li>Administraci\u00f3n sublingual<\/li><li>Presentaci\u00f3n en gotas.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-19505708611\" id=\"e-n-tab-content-19505708611\" data-tab-index=\"11\" style=\"--n-tabs-title-order: 11;\" class=\" elementor-element elementor-element-bda835a e-con-full e-grid e-con e-child\" data-id=\"bda835a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-1243d53 e-con-full e-flex e-con e-child\" data-id=\"1243d53\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-aee1a60 e-con-full e-flex e-con e-child\" data-id=\"aee1a60\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-94bd4c5 elementor-widget elementor-widget-text-editor\" data-id=\"94bd4c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>Hern\u00e1ndez Richard\u00b9 Est\u00e9vez Liliana\u00b2, Albornoz, Cristhy\u00b3 Moy, Claudia\u2074 Duerto, Mar\u00eda Jos\u00e9\u2075<\/p><ol><li>Nefr\u00f3logo\/Pediatra Hospital Central de San Crist\u00f3bal (T\u00e1chira) 2.<\/li><\/ol><p>\u00a0 Nefr\u00f3logo\/Pediatra Hospital Central de Valle la Pascua (Gu\u00e1rico) 3. Nefr\u00f3logo\/Pediatra<\/p><p>SAHUM Servicio Aut\u00f3nomo Hospital Universitario de Maracaibo (Zulia) 4. Instituto<\/p><p>M\u00e9dico la Floresta Grupo M\u00e9dico Santa Paula (Distrito Capital) 5. Imdelmedicalcenter Barcelona Cl\u00ednica M\u00e9rida Anaco (Anzo\u00e1tegui)<\/p><p>Autor corresponsal: Hern\u00e1ndez Richard.<\/p><h5>richardnef@gmail.com<\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-19505708612\" id=\"e-n-tab-content-19505708612\" data-tab-index=\"12\" style=\"--n-tabs-title-order: 12;\" class=\" elementor-element elementor-element-4293f8f e-con-full e-grid e-con e-child\" data-id=\"4293f8f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-1904279 e-con-full e-flex e-con e-child\" data-id=\"1904279\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-f552a95 e-con-full e-flex e-con e-child\" data-id=\"f552a95\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e66fb4 elementor-widget elementor-widget-text-editor\" data-id=\"4e66fb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><ol><li>Dalet Fernando, Del R\u00edo Gerardo. Infecciones urinarias. Editorial Panamericana, Barcelona, Espa\u00f1a, 1998. Cap.1, 15p<\/li><li>Hoen Lisette A, Bogaert Guy, Radmayr Christian, Tejgul Sedar et al. Update of the EAU\/ESPY guidelines on urinary tract infections in children. Volume 17, Issue 2P200-207April 2021 https:\/\/www.jpurol.com\/article\/S1477-5131(21)00068-1\/fulltext<\/li><li>Montini Giovanni, Spencer John David, Hewitt Ian K. Urinary tract infections in children; In E. Francesco, Goldstein, A. Bagga, C. Bates, R. Shroff (editores). Pediatrics Nephrology, eighth edition, Springer, 2022, pp 1323-1342.<\/li><li>Moriy\u00f3n JC, Petit N, Coronel V, Ariza M, Arias A, Orta N. Infecci\u00f3n urinaria en pediatr\u00eda. Definici\u00f3n, epidemiolog\u00eda, patogenia, diagn\u00f3stico. Arch Venez Puer Ped 2011 Mar v. 74 n. 1 Caracas.<\/li><li>Orta-Sib\u00fa N, L\u00f3pez M, Moriy\u00f3n J, Chavez JB, Ariza M, Caviedes N, et al. Epidemiolog\u00eda de las enfermedades renales en ni\u00f1os en Venezuela. Arch Venez Pueric Pediatr 2001; 64:76-86.<\/li><li>Hern\u00e1ndez R, Daza A, Mar\u00edn J. Infecci\u00f3n urinaria en el ni\u00f1o (1 mes-14 a\u00f1os). Protocolo de Nefrolog\u00eda de la Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda. En: http:\/\/www.aeped.es\/sites\/default\/files\/documentos\/5_4.pdf. Protocolo actualizado 2008<\/li><li>Chen L, Baker M. Racial and ethnic differences in the rates of urinary tract infections in febrile infants in the emergency department. Pediatr Emerg Care. 2006;22(7):485-7<\/li><li>Shaikh N, Morone NE, Bost JE, Farrell MH. Prevalence of urinary tract infection in childhood: a meta-analysis. Pediatr Infect Dis J. 2008;27(4):302-8.<\/li><li>Grupo de trabajo de la Gu\u00eda de Pr\u00e1ctica Cl\u00ednica sobre Infecci\u00f3n del Tracto Urinario en la Poblaci\u00f3n Pedi\u00e1trica. Gu\u00eda de Pr\u00e1ctica Cl\u00ednica. Infecci\u00f3n del Tracto Urinario en la Poblaci\u00f3n Pedi\u00e1trica. Actualizaci\u00f3n 2024. https:\/\/serviciopediatria.com\/wp-content\/uploads\/2024\/05\/2024_GPC-Infeccion-Tracto-Urinario-en-Pediatria.pdf<\/li><li>Reyes Morales L, N\u00fa\u00f1ez Cortes X, Garc\u00eda N\u00e1jera MC, Navarro Ram\u00edrez AC, Mart\u00ednez V\u00e1zquez R, Osorio Contla EI, Villalobos Elvira ET, Mu\u00f1oz Haro JM. Abordaje de las infecciones del tracto urinario en pediatr\u00eda. Acta Pediatr M\u00e9x 2025; 46 (1): 103-112. https:\/\/actapediatrica.org.mx\/article\/abordaje-de-las-infecciones-del-tracto-urinario-en-pediatria\/<\/li><li>National Institute for Health and Care Excellence. Guidelines: Urinary tract infection in unders: diagnosis and management. London: National Institute for Health and Care Excellence (NICE). 2022 https:\/\/www.nice.org.uk\/guidance\/ng224<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-19505708613\" id=\"e-n-tab-content-19505708613\" data-tab-index=\"13\" style=\"--n-tabs-title-order: 13;\" class=\" elementor-element elementor-element-fee7ec8 e-con-full e-grid e-con e-child\" data-id=\"fee7ec8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-fe49fe9 e-con-full e-flex e-con e-child\" data-id=\"fe49fe9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1670\" class=\"elementor-element elementor-element-18d0a03 e-con-full e-flex e-con e-child\" data-id=\"18d0a03\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e26037 elementor-widget elementor-widget-text-editor\" data-id=\"5e26037\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Recomendaciones para los padres de familia\u00a0<\/strong><\/span><\/p><p>1. Evaluaci\u00f3n m\u00e9dica especializada<\/p><ul><li>Acudir a un <strong>nefr\u00f3logo pedi\u00e1trico<\/strong><\/li><\/ul><ol start=\"2\"><li>H\u00e1bitos de higiene y micci\u00f3n<\/li><\/ol><ul><li>Ense\u00f1ar a las ni\u00f1as a limpiarse <strong>de adelante hacia atr\u00e1s<\/strong> para evitar que bacterias fecales lleguen a la uretra.<\/li><li>Evitar el uso de <strong>jabones perfumados o ba\u00f1os de burbujas<\/strong>, que pueden irritar la uretra.<\/li><li>Fomentar que el ni\u00f1o <strong>orine con frecuencia<\/strong> y no retenga la orina por largos periodos.<\/li><\/ul><ol start=\"3\"><li>3<strong>. <\/strong>Hidrataci\u00f3n adecuada<\/li><\/ol><ul><li>Asegurarse de que el ni\u00f1o beba <strong>8\u201310 vasos de agua al d\u00eda<\/strong> para mantener el tracto urinario limpio.<\/li><li>Consultar con el pediatra sobre el uso de <strong>jugo o extracto de ar\u00e1ndano<\/strong>, que puede ayudar a prevenir la adhesi\u00f3n de bacterias.<\/li><\/ul><ol start=\"4\"><li>Prevenci\u00f3n del estre\u00f1imiento<\/li><\/ol><ul><li>Mantener una dieta rica en fibra para evitar el estre\u00f1imiento, que puede aumentar el riesgo de infecciones urinarias.<\/li><\/ul><ol start=\"5\"><li>Cuidados con pa\u00f1ales<\/li><\/ol><ul><li>Cambiar los pa\u00f1ales con frecuencia para evitar que las heces permanezcan en contacto con la zona genital.<\/li><\/ul><ol start=\"6\"><li>Tratamiento y seguimiento<\/li><\/ol><ul><li>Seguir el tratamiento antibi\u00f3tico completo seg\u00fan indicaci\u00f3n m\u00e9dica.<\/li><li>En algunos casos, se puede considerar <strong>profilaxis antibi\u00f3tica continua<\/strong>, pero solo bajo supervisi\u00f3n m\u00e9dica.<\/li><li>Evitar el uso innecesario de antibi\u00f3ticos, ya que puede aumentar la resistencia bacteriana.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1670 e-n-tab-title-19505708614\" id=\"e-n-tab-content-19505708614\" data-tab-index=\"14\" style=\"--n-tabs-title-order: 14;\" class=\" elementor-element elementor-element-a261d7c e-flex e-con-boxed e-con e-child\" data-id=\"a261d7c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-038a05f elementor-widget elementor-widget-text-editor\" data-id=\"038a05f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ITU.pdf\">Gu\u00eda Cl\u00ednica ITU<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1671\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1671\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> S\u00edndrome Nefr\u00f3tico Idiop\u00e1tico <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" 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https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SindromeNefrotico4-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SindromeNefrotico4-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SindromeNefrotico4-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SindromeNefrotico4.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1671 e-n-tab-title-184330884\" id=\"e-n-tab-content-184330884\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-7d6c4f4 e-con-full e-grid e-con e-child\" data-id=\"7d6c4f4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-0609e50 e-con-full e-flex e-con e-child\" data-id=\"0609e50\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-3b0a768 e-con-full e-flex e-con e-child\" data-id=\"3b0a768\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0d9b6a6 elementor-widget elementor-widget-text-editor\" data-id=\"0d9b6a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p><strong>Duerto, Mar\u00eda Jos\u00e9 <sup>1<\/sup>\u00a0Hern\u00e1ndez, Richard <sup>2<\/sup>\u00a0Albornoz, Cristhy <sup>3<\/sup>\u00a0Est\u00e9vez, Liliana <sup>4<\/sup>\u00a0Moy, Claudia <sup>5<\/sup><\/strong><\/p><p><strong><em><sup>1.Fazgan. Nefr\u00f3logo\/Pediatra\u00a0 (Fondo \u00danico de los Trabajadores de la Gobernaci\u00f3n del Edo Anzo\u00e1tegui.) 2..Nefrologo\/Pediatra, Hospital Central de San Crist\u00f3bal (T\u00e1chira) 3. Nefr\u00f3logo \/Pediatra. SAHUM Servicio Aut\u00f3nomo Hospital Universitario de Maracaibo (Zulia) 4. Nefr\u00f3logo Pediatra. Hospital Central de Valle de la Pascua. 5. Nefr\u00f3logo\/Pediatra. Instituto m\u00e9dico La Floresta. Grupo Sta Paula.<\/sup><\/em><\/strong><\/p><p><strong><sup>Autor Corresponsal: Hern\u00e1ndez Richard<\/sup><\/strong><\/p><p><strong><sup>Correo: richardnef@gmail.com<\/sup><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1671 e-n-tab-title-184330885\" id=\"e-n-tab-content-184330885\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-0d74c67 e-con-full e-grid e-con e-child\" data-id=\"0d74c67\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-46abca8 e-con-full e-flex e-con e-child\" data-id=\"46abca8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-5792763 e-con-full e-flex e-con e-child\" data-id=\"5792763\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-20374c6 elementor-widget elementor-widget-text-editor\" data-id=\"20374c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><p>Kidney Disease: ImprovingGlobal Outcomes (KDIGO) Nephrotic Syndrome In Children Work Group. KDIGO 2025 Clinical Practice Guideline for the Management of Nephrotic Syndrome in Children. Kidney Int. 2025;107(5S):S241\u2013S289.<\/p><p>Abarca Z\u00fa\u00f1iga V, \u00c1lvarez Rodr\u00edguez N. S\u00edndrome nefr\u00f3tico en pediatr\u00eda. Rev.m\u00e9d.sinerg. [Internet]. 26 de febrero de 2020\u00a0\u00a0 [citado 20 de julio de 2025];5(3):e392. Disponible en: https:\/\/revistamedicasinergia.com\/index.php\/rms\/article\/view\/39<\/p><p>Instituto Mexicano del Seguro Social (IMSS). Diagn\u00f3stico y Tratamiento del SIndrome Nefr\u00f3tico Primario en Ni\u00f1os: Gu\u00eda de Referencia R\u00e1pida. M\u00e9xico: Divisi\u00f3n de excelencia cl\u00ednica. Coordinaci\u00f3n de Unidades M\u00e9dicas de alta especialidad.\u00a0 [citado 19 de julio de 2025]. Disponible en: <a href=\"http:\/\/www.imss.gob.mx\/\">www.imss.gob.mx<\/a><\/p><p>Rom\u00e1n Ortiz E. S\u00edndrome nefr\u00f3tico pedi\u00e1trico. Protoc diagn ter pediatr. 2022;1:317-37.. Kallen\u00a0\u00a0\u00a0 J.R. Langman\u00a0\u00a0\u00a0 C.B.\u00a0\u00a0\u00a0 Pediatric\u00a0\u00a0\u00a0 Nephrotic\u00a0\u00a0\u00a0 Syndrome.\u00a0\u00a0\u00a0 Medscape<\/p><p>.2023emedicine.medscape.com\/article\/982920-print.[citado\u00a0\u00a0 27\u00a0\u00a0 de\u00a0\u00a0 julio\u00a0\u00a0 de\u00a0\u00a0 2025]. Disponible en: https:\/\/emedicine.medscape.com\/article\/982920-overview?form=fpf<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1671 e-n-tab-title-184330886\" id=\"e-n-tab-content-184330886\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-c1a12f6 e-con-full e-grid e-con e-child\" data-id=\"c1a12f6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-1af69df e-con-full e-flex e-con e-child\" data-id=\"1af69df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1671\" class=\"elementor-element elementor-element-1b42618 e-con-full e-flex e-con e-child\" data-id=\"1b42618\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e032ab elementor-widget elementor-widget-text-editor\" data-id=\"5e032ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Recomendaciones para los padres de familia<\/strong><\/span><\/p><p><strong>\u00a0Seguimiento m\u00e9dico<\/strong><\/p><ul><li><strong>Cumplir con el tratamiento prescrito<\/strong> (generalmente corticoides como prednisona).<\/li><li>Asistir a <strong>controles peri\u00f3dicos<\/strong> con el nefr\u00f3logo pedi\u00e1trico para ajustar dosis y evaluar respuesta.<\/li><li>Informar al m\u00e9dico sobre cualquier efecto secundario de la medicaci\u00f3n (ej. aumento de peso, cambios de humor, hipertensi\u00f3n).<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>Control en casa<\/strong><\/p><ul><li><strong>Monitorear la orina con tiras reactivas<\/strong> para detectar proteinuria temprana.<\/li><li>Vigilar la aparici\u00f3n de <strong>edemas<\/strong> (hinchaz\u00f3n en p\u00e1rpados, tobillos, abdomen).<\/li><li>Controlar el <strong>peso diario<\/strong> del ni\u00f1o, ya que un aumento r\u00e1pido puede indicar retenci\u00f3n de l\u00edquidos.<\/li><\/ul><p><strong>\u00a0Alimentaci\u00f3n y estilo de vida<\/strong><\/p><ul><li>Mantener una <strong>dieta baja en sal<\/strong> para reducir la retenci\u00f3n de l\u00edquidos.<\/li><li>Favorecer una alimentaci\u00f3n equilibrada, rica en frutas y verduras, evitando exceso de grasas.<\/li><li>Asegurar una <strong>hidrataci\u00f3n adecuada<\/strong>, salvo que el m\u00e9dico indique restricciones.<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>Prevenci\u00f3n de complicaciones<\/strong><\/p><ul><li>El s\u00edndrome nefr\u00f3tico aumenta el riesgo de <strong>infecciones<\/strong>; por ello, mantener al d\u00eda las <strong>vacunas<\/strong> recomendadas.<\/li><li>Evitar contacto con personas enfermas y reforzar medidas de higiene (lavado de manos frecuente).<\/li><li>Consultar de inmediato si el ni\u00f1o presenta fiebre, dificultad respiratoria o dolor abdominal, ya que pueden ser signos de complicaciones graves.<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>Apoyo emocional y escolar<\/strong><\/p><ul><li>Explicar al ni\u00f1o su condici\u00f3n de manera sencilla para reducir ansiedad.<\/li><li>Coordinar con la escuela para que comprendan la situaci\u00f3n y apoyen en caso de ausencias por controles m\u00e9dicos.<\/li><li>Fomentar actividades recreativas seguras, evitando deportes de contacto intenso durante fases de edema.<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>Puntos cr\u00edticos que los padres no deben olvidar<\/strong><\/p><ul><li><strong>La adherencia al tratamiento es esencial<\/strong> para evitar reca\u00eddas.<\/li><li><strong>La detecci\u00f3n temprana de proteinuria y edemas<\/strong> permite actuar r\u00e1pidamente.<\/li><li><strong>El entorno familiar y escolar debe ser comprensivo<\/strong>, ya que el s\u00edndrome puede implicar per\u00edodos de hospitalizaci\u00f3n o cambios en la rutina.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1671 e-n-tab-title-184330887\" id=\"e-n-tab-content-184330887\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-75d9866 e-flex e-con-boxed e-con e-child\" data-id=\"75d9866\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea567b8 elementor-widget elementor-widget-text-editor\" data-id=\"ea567b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SINDROME-NEFROTICO.pdf\">Gu\u00eda Cl\u00ednica S\u00edndrome Nefr\u00f3tico Idiop\u00e1tico<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1672\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1672\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> S\u00edndrome Nefritico Agudo <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-medical\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-153 31V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm64 160v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 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8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tBibliograf\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1371627427\" data-tab-title-id=\"e-n-tab-title-1371627427\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"7\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1371627427\" style=\"--n-tabs-title-order: 7;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tInformaci\u00f3n Padres\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1371627428\" data-tab-title-id=\"e-n-tab-title-1371627428\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"8\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1371627428\" style=\"--n-tabs-title-order: 8;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627421\" id=\"e-n-tab-content-1371627421\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-2ce846a e-con-full e-grid e-con e-child\" data-id=\"2ce846a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-eab4168 e-con-full e-flex e-con e-child\" data-id=\"eab4168\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-c7fd3a0 e-con-full e-flex e-con e-child\" data-id=\"c7fd3a0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d02e2bf elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d02e2bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Definici\u00f3n y etiolog\u00eda<\/b><\/span><\/p><p><strong>Definici\u00f3n:<\/strong><\/p><p>El <strong>s\u00edndrome nefr\u00edtico agudo, <\/strong>es una manifestaci\u00f3n cl\u00ednica resultante de una inflamaci\u00f3n glomerular aguda. Se caracteriza por la presencia de <strong>hematuria, edema, hipertensi\u00f3n arterial y proteinuria leve a moderada. <\/strong>Puede acompa\u00f1arse de <strong>oliguria <\/strong>y alteraci\u00f3n de la funci\u00f3n renal. En la edad pedi\u00e1trica, su causa m\u00e1s frecuente es la <strong>glomerulonefritis postinfecciosa aguda (GNAPI)<\/strong>, que suele aparecer una a <strong>tres semanas despu\u00e9s <\/strong>de una infecci\u00f3n estreptoc\u00f3cica (faringitis o imp\u00e9tigo).<\/p><p><strong>Etiolog\u00eda:\u00a0<\/strong><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1822 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo-1024x345.jpg\" alt=\"\" width=\"1024\" height=\"345\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo-1024x345.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo-300x101.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo-768x259.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo-1536x518.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Etiologia_SindromeNefroticoAgudo.jpg 2025w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627422\" id=\"e-n-tab-content-1371627422\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-55190e8 e-grid e-con-boxed e-con e-child\" data-id=\"55190e8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-02657f0 e-con-full e-grid e-con e-child\" data-id=\"02657f0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-229534e elementor-widget elementor-widget-text-editor\" data-id=\"229534e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Epidemiolog\u00eda<\/b><\/span><\/p><p>Edaddepresentaci\u00f3n:4\u201314 a\u00f1os (muy raro &lt;3a\u00f1os)<\/p><p>Predominio masculino 2:1<\/p><p>GNAPI representala causam\u00e1s frecuente de s\u00edndrome nefr\u00edtico infantila nivel mundial (\u2248470.000nuevoscasos\/a\u00f1o)<\/p><p>10%deni\u00f1osconfaringitis y 25%en caso de impetigo progresan a GNPI<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627423\" id=\"e-n-tab-content-1371627423\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-0bd1ae5 e-grid e-con-boxed e-con e-child\" data-id=\"0bd1ae5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-e80e678 e-con-full e-flex e-con e-child\" data-id=\"e80e678\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-944328e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"944328e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Manejo cl\u00ednico. Paciente con s\u00edndrome nefr\u00edtico\u00a0<\/b><\/span><\/p><p><strong>Manifestaciones Cl\u00ednicas:<\/strong><\/p><p><strong>Inicio t\u00edpico:1\u20133semanasdespu\u00e9sdefaringitis o imp\u00e9tigo.<\/strong><\/p><ul><li>Hematuria macrosc\u00f3pica (color Coca-Cola)<\/li><li>Edema (periorbitario \u2192generalizado)<\/li><li>Hipertensi\u00f3n arterial<\/li><li>Oliguria<\/li><li>Fiebre, malestar general<\/li><li>Nauseas, dolor abdominal<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627424\" id=\"e-n-tab-content-1371627424\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-3deef68 e-flex e-con-boxed e-con e-child\" data-id=\"3deef68\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-a2d92e1 e-con-full e-flex e-con e-child\" data-id=\"a2d92e1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9076181 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9076181\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Estudios de laboratorio<\/b><\/span><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1823 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-1024x563.jpg\" alt=\"\" width=\"1024\" height=\"563\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-1024x563.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-300x165.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-768x423.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-1536x845.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Examenes-de-laboratorio_-Sindrome-Nefritico-Agudo-2048x1127.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627425\" id=\"e-n-tab-content-1371627425\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-ea989d9 e-con-full e-grid e-con e-child\" data-id=\"ea989d9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-f5b0fdd e-con-full e-flex e-con e-child\" data-id=\"f5b0fdd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-8c72032 e-con-full e-flex e-con e-child\" data-id=\"8c72032\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40ea067 elementor-widget elementor-widget-text-editor\" data-id=\"40ea067\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>Hernandez, Richard\u00b9 Estevez, Liliana\u00b2 Albornoz, Cristhy\u00b3 Moy, Claudia\u2074 Duerto, Mar\u00eda Jos\u00e9\u2075<\/p><p>1<em>.Nefr\u00f3logo\/Pediatra Hospital Central de San Cristobal (T\u00e1chira)<\/em><\/p><ol start=\"2\"><li><em> Nefr\u00f3logo\/Pediatra<\/em> <em>Hospital Central de Valle del a Pascua (Gu\u00e1rico) 3. Nefr\u00f3logo\/Pediatra SAHUM Servicio Aut\u00f3nomo Hospital Universitario de Maracaibo (Zulia) 4. Instituto M\u00e9dico la Floresta Grupo M\u00e9dico Santa Paula (Distrito Capital) 5. Fargan (Fondo Unico de trabajadores de la Gobernaci\u00f3n del edo. <\/em><em>Anzo\u00e1tegui (Anzo\u00e1tegui)<\/em><\/li><\/ol><p><strong>Autor corresponsal: <\/strong>Hernandez, Richard\u00b9<\/p><p><strong>Correo: <\/strong><u>richardnef@gmail.com<\/u><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627426\" id=\"e-n-tab-content-1371627426\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-7202c97 e-con-full e-grid e-con e-child\" data-id=\"7202c97\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-7eda389 e-con-full e-flex e-con e-child\" data-id=\"7eda389\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-d8b111a e-con-full e-flex e-con e-child\" data-id=\"d8b111a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a14e1c0 elementor-widget elementor-widget-text-editor\" data-id=\"a14e1c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><p>1.Fern\u00e1ndez Maseda M\u00c1, Romero Sala FJ. Glomerulonefritis aguda postinfecciosa. Protocolos diagn\u00f3sticos y terap\u00e9uticos en nefrolog\u00eda pedi\u00e1trica [Internet]. Madrid: Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda; 2014. p.303\u201314.<\/p><p>2.Garc\u00eda de la Puente S, Salas-L\u00f3pez JA. Glomerulonefritis postinfecciosa en pediatr\u00eda: revisi\u00f3n actualizada. Rev Mex Pediatr. 2022;89(1):26-34.<\/p><p>3.Gonz\u00e1lez-Lamu\u00f1o\u00a0\u00a0\u00a0\u00a0 D,\u00a0\u00a0\u00a0\u00a0\u00a0 Buend\u00eda\u00a0\u00a0\u00a0\u00a0\u00a0 de\u00a0\u00a0\u00a0\u00a0 Guezala\u00a0\u00a0\u00a0\u00a0\u00a0 A.\u00a0\u00a0\u00a0\u00a0\u00a0 S\u00edndrome\u00a0\u00a0\u00a0 nefr\u00edtico y glomerulonefritis. Pediatr\u00eda Integral. 2022; XXVI (8): 471.e1\u2013471.e13.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627427\" id=\"e-n-tab-content-1371627427\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-2a64aea e-con-full e-grid e-con e-child\" data-id=\"2a64aea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-dc7a16a e-con-full e-flex e-con e-child\" data-id=\"dc7a16a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1672\" class=\"elementor-element elementor-element-1e11f3d e-con-full e-flex e-con e-child\" data-id=\"1e11f3d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-facd387 elementor-widget elementor-widget-text-editor\" data-id=\"facd387\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Recomendaciones para los padres de familia\u00a0<\/strong><\/span><\/p><ol><li>Asistir a todas las citas: El nefr\u00f3logo pedi\u00e1trico es su aliado principal. No falte a los controles.<\/li><li>Medicaci\u00f3n: Administre exactamente como fue recetada. Nunca suspenda o modifique la dosis de medicamentos (como los antihipertensivos) sin consultar al m\u00e9dico.<\/li><li>Controles en casa: Aprenda a tomar la presi\u00f3n arterial de su hijo si el m\u00e9dico lo indica. Tambi\u00e9n anote la cantidad de orina y su aspecto.<\/li><\/ol><p>Manejo de la Dieta (Dieta Renal)<\/p><ol><li>Restricci\u00f3n de SAL (Sodio): Es la m\u00e1s importante. La sal empeora la hinchaz\u00f3n y la presi\u00f3n alta.<\/li><\/ol><p>2 . Evite: Comidas procesadas, enlatados, embutidos, sopas de sobre, snacks salados, salsas comerciales, quesos curados.<\/p><ol start=\"3\"><li>Cocine con muy poca sal. Use especias, hierbas arom\u00e1ticas, ajo y lim\u00f3n para dar sabor.<\/li><li>Restricci\u00f3n de L\u00cdQUIDOS: Solo si el m\u00e9dico lo indica. En la fase aguda, se puede limitar la ingesta para controlar el edema y la presi\u00f3n.<\/li><li>Mida los l\u00edquidos (agua, leche, jugos, sopas) seg\u00fan las indicaciones. 2 .6 Restricci\u00f3n de POTASIO y PROTE\u00cdNAS: No siempre es necesaria. Solo debe implementarse bajo supervisi\u00f3n m\u00e9dica espec\u00edfica.<\/li><li>El medico le dir\u00e1 si debe limitar alimentos ricos en potasio (pl\u00e1tano, naranja, tomate, patata) o prote\u00ednas (carne, pescado, huevos).<\/li><li>Medicaci\u00f3n<\/li><\/ol><p>\u00a0<\/p><p>Reposo y Actividad F\u00edsica<\/p><p>1.Fase activa: Durante la fase aguda (con hinchaz\u00f3n, hipertensi\u00f3n), el reposo es fundamental. Favorece la diuresis (producci\u00f3n de orina) y ayuda a controlar la presi\u00f3n.<\/p><ol start=\"2\"><li>Recuperaci\u00f3n: Una vez que los s\u00edntomas mejoren (la hinchaz\u00f3n baje, la presi\u00f3n se normalice y la orina se aclare), el ni\u00f1o puede reintegrarse gradualmente a sus actividades normales, incluida la escuela. Evite deportes de contacto o de alto rendimiento hasta que el m\u00e9dico lo autorice.<\/li><\/ol><p>\u00a0<\/p><p>Prevenci\u00f3n de Infecciones<\/p><p>Lavado de manos frecuente.<\/p><p>Evite el contacto con personas enfermas (gripe, varicela, etc.).<\/p><p>Mantenga al d\u00eda el calendario de vacunaci\u00f3n (consultando con el pediatra qu\u00e9 vacunas son compatibles con su tratamiento).<\/p><p>Vigilancia de Signos de Alarma (\u00bfCu\u00e1ndo volver a Urgencias?)<\/p><p>Contacte inmediatamente a su m\u00e9dico o acuda a urgencias si observa:<\/p><p>\u00a0<\/p><p>Disminuci\u00f3n marcada o ausencia total de orina en 12 horas.<\/p><p>Aumento repentino de la hinchaz\u00f3n.<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p>Dolor de cabeza intenso, visi\u00f3n borrosa o convulsiones (signos de presi\u00f3n arterial muy alta).<\/p><p>Fiebre alta.<\/p><p>Dificultad para respirar o tos (podr\u00eda indicar acumulaci\u00f3n)<\/p><p>\u00a0<\/p><p>Vigilancia de Signos de Alarma (\u00bfCu\u00e1ndo volver a Urgencias?)<\/p><p>Contacte inmediatamente a su m\u00e9dico o acuda a EMERGENCIA si observa:<\/p><p>Disminuci\u00f3n marcada o ausencia total de orina en 12 horas.<\/p><p>Aumento repentino de la hinchaz\u00f3n.<\/p><p>Dolor de cabeza intenso, visi\u00f3n borrosa o convulsiones (signos de presi\u00f3n arterial muy alta).<\/p><p>Fiebre alta.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1672 e-n-tab-title-1371627428\" id=\"e-n-tab-content-1371627428\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-c2a26e4 e-flex e-con-boxed e-con e-child\" data-id=\"c2a26e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-562ee2d elementor-widget elementor-widget-text-editor\" data-id=\"562ee2d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/SINDROME-NEFRITICO-AGUDO.pdf\">Gu\u00eda Cl\u00ednica S\u00edndrome Nefr\u00f3tico Agudo<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1673\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1673\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Hipercalciuria <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-medical\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-153 31V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm64 160v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 0-8-3.6-8-8v-56h-56c-4.4 0-8-3.6-8-8v-48c0-4.4 3.6-8 8-8h56v-56c0-4.4 3.6-8 8-8h48c4.4 0 8 3.6 8 8v56h56c4.4 0 8 3.6 8 8z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-a30ba47 e-con-full e-flex e-con e-child\" data-id=\"a30ba47\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-6538ee7 e-grid e-con-boxed e-con e-child\" data-id=\"6538ee7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c6173d elementor-widget elementor-widget-image\" data-id=\"2c6173d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria1.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Hipercalciuria1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTg1OCwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzEyXC9IaXBlcmNhbGNpdXJpYTEuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria1-1024x614.jpg\" class=\"attachment-large size-large wp-image-1858\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria1-1024x614.jpg 1024w, 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href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Hipercalciuria2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTg1OSwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzEyXC9IaXBlcmNhbGNpdXJpYTIuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2-1024x614.jpg\" class=\"attachment-large size-large wp-image-1859\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria2.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7aeb420 e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"7aeb420\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"128889888\" aria-label=\"Pesta\u00f1as. Abre elementos con Intro o Espacio, ci\u00e9rralos con Escape y navega con las fechas.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t<button id=\"e-n-tab-title-1288898881\" data-tab-title-id=\"e-n-tab-title-1288898881\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-1288898881\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tA\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1288898882\" data-tab-title-id=\"e-n-tab-title-1288898882\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1288898882\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tB \t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1288898883\" data-tab-title-id=\"e-n-tab-title-1288898883\" class=\"e-n-tab-title\" 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8;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tH\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1288898889\" data-tab-title-id=\"e-n-tab-title-1288898889\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"9\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1288898889\" style=\"--n-tabs-title-order: 9;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tI\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-12888988810\" data-tab-title-id=\"e-n-tab-title-12888988810\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"10\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-12888988810\" style=\"--n-tabs-title-order: 10;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tJ\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-12888988811\" data-tab-title-id=\"e-n-tab-title-12888988811\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"11\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-12888988811\" style=\"--n-tabs-title-order: 11;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-user-edit\" viewBox=\"0 0 640 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 256c70.7 0 128-57.3 128-128S294.7 0 224 0 96 57.3 96 128s57.3 128 128 128zm89.6 32h-16.7c-22.2 10.2-46.9 16-72.9 16s-50.6-5.8-72.9-16h-16.7C60.2 288 0 348.2 0 422.4V464c0 26.5 21.5 48 48 48h274.9c-2.4-6.8-3.4-14-2.6-21.3l6.8-60.9 1.2-11.1 7.9-7.9 77.3-77.3c-24.5-27.7-60-45.5-99.9-45.5zm45.3 145.3l-6.8 61c-1.1 10.2 7.5 18.8 17.6 17.6l60.9-6.8 137.9-137.9-71.7-71.7-137.9 137.8zM633 268.9L595.1 231c-9.3-9.3-24.5-9.3-33.8 0l-37.8 37.8-4.1 4.1 71.8 71.7 41.8-41.8c9.3-9.4 9.3-24.5 0-33.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-user-edit\" viewBox=\"0 0 640 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 256c70.7 0 128-57.3 128-128S294.7 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xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tBibliograf\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-12888988813\" data-tab-title-id=\"e-n-tab-title-12888988813\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"13\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-12888988813\" style=\"--n-tabs-title-order: 13;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tInformaci\u00f3n Padres\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-12888988814\" data-tab-title-id=\"e-n-tab-title-12888988814\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"14\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-12888988814\" style=\"--n-tabs-title-order: 14;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898881\" id=\"e-n-tab-content-1288898881\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-9384e37 e-con-full e-grid e-con e-child\" data-id=\"9384e37\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-47ee895 e-con-full e-flex e-con e-child\" data-id=\"47ee895\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-6b32237 e-con-full e-flex e-con e-child\" data-id=\"6b32237\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35bbd23 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"35bbd23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Definici\u00f3n\u00a0<\/b><\/span><\/p><p>Es una anomal\u00eda metab\u00f3lica debido a una excreci\u00f3n urinaria excesiva de calcio, frecuentemente asociada a riesgos de litiasis renal y nefrocalcinosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898882\" id=\"e-n-tab-content-1288898882\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-4bb6a82 e-grid e-con-boxed e-con e-child\" data-id=\"4bb6a82\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-c0010b7 e-con-full e-grid e-con e-child\" data-id=\"c0010b7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ffa250e elementor-widget elementor-widget-text-editor\" data-id=\"ffa250e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Epidemiolog\u00eda<\/b><\/span><\/p><ul><li>Prevalencia 2,2 hasta 6,4%<\/li><li>Mas com\u00fan sexo Masculino<\/li><li>Causa mas Frecuente litiasis infancia<\/li><li>Litiasis Renal multiplicado por 5 ( ultima d\u00e9cada)<\/li><li>Mayor riesgo Nefrocalcinosis<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898883\" id=\"e-n-tab-content-1288898883\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-9f224ac e-grid e-con-boxed e-con e-child\" data-id=\"9f224ac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-2875278 e-con-full e-flex e-con e-child\" data-id=\"2875278\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-211e0b2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"211e0b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tipos\u00a0<\/b><\/span><\/p><ul><li><u>Primarias:<\/u><\/li><\/ul><p>Cuando no est\u00e1 asociada a una causa definida<\/p><ul><li><u>Secundarias:<\/u> Cuando se debe a alguna patolog\u00eda o\u00a0condici\u00f3n definida<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898884\" id=\"e-n-tab-content-1288898884\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-d8e8d9a e-flex e-con-boxed e-con e-child\" data-id=\"d8e8d9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-274da9b e-con-full e-flex e-con e-child\" data-id=\"274da9b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-04d37df elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"04d37df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Causas de hipercalciuria en ni\u00f1os<\/b><\/span><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1845 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria3.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1846 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria4.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898885\" id=\"e-n-tab-content-1288898885\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-f7ac85d e-flex e-con-boxed e-con e-child\" data-id=\"f7ac85d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-6321709 e-con-full e-grid e-con e-child\" data-id=\"6321709\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a1171c elementor-widget elementor-widget-text-editor\" data-id=\"5a1171c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tipos de hipercalciuria<\/b><\/span><\/p><p><strong><u>Hipercalciuria Idiop\u00e1tica: <\/u><\/strong><\/p><ul><li>Es un defecto metab\u00f3lico caracterizado de <strong><u>origen gen\u00e9tico <\/u><\/strong>que se caracteriza por excreci\u00f3n elevada urinaria de calcio en <strong><u>Ausencia de Hipercalcemia,<\/u><\/strong> por alteraciones en el transporte de calcio a nivel intestinal, renal y del hueso, especialmente, en adultos con litiasis c\u00e1lcica y osteoporosis.<\/li><li>Este trastorno familiar poligenico requiere la interacci\u00f3n de factores gen\u00e9ticos y ambientales.<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>Fisiopatolog\u00eda:<\/strong><\/p><ul><li>Defecto en la reabsorci\u00f3n tubular de calcio, por inmadurez funcional o de causa gen\u00e9tica.<\/li><li>Aumento en la absorci\u00f3n intestinal de calcio por aumento en la s\u00edntesis o sensibilidad al calcitriol (Forma activa de la vitamina D).<\/li><li>P\u00e9rdida renal de fosfato e hipofosfatemia, que estimular\u00eda secundariamente la producci\u00f3n renal de calcitriol y, por tanto, la absorci\u00f3n intestinal de calcio.<\/li><li>Aumento en la resorci\u00f3n \u00f3sea, por aumento en la producci\u00f3n de diversas citocinas de origen monocitario, de prostaglandina E2 o secundario a acidosis metab\u00f3lica.<\/li><\/ul><p><strong><u>\u00a0<\/u><\/strong><\/p><p><strong><u>Hipercalciuria normocalc\u00e9micas:<\/u><\/strong><\/p><ul><li>Son el resultado de una reabsorci\u00f3n \u00f3sea y\/o hiperabsorci\u00f3n intestinal<\/li><li>Hipervitaminosis D<\/li><li>aporte alimentario excesivo de calcio (productos l\u00e1cteos)<\/li><li>aportes inapropiados de calcio o de fosfato en nutrici\u00f3n parenteral,<\/li><li>corticoterapia, inmovilizaci\u00f3n, osteog\u00e9nesis imperfecta, enfermedades inflamatorias y s\u00edndrome de Wiedmann-Beckwith.<\/li><\/ul><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1850 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria9.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898886\" id=\"e-n-tab-content-1288898886\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-2fd3e99 e-grid e-con-boxed e-con e-child\" data-id=\"2fd3e99\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-318ed2c e-con-full e-flex e-con e-child\" data-id=\"318ed2c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3f07c59 elementor-widget elementor-widget-text-editor\" data-id=\"3f07c59\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"color: #338fff;\">Manejo cl\u00ednico<\/b><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1857 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria10.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898887\" id=\"e-n-tab-content-1288898887\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-c326c30 e-grid e-con-boxed e-con e-child\" data-id=\"c326c30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-b18fefd e-con-full e-flex e-con e-child\" data-id=\"b18fefd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e19219a elementor-widget elementor-widget-text-editor\" data-id=\"e19219a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"color: #338fff;\">Evaluaci\u00f3n y manejo seg\u00fan la etiolog\u00eda<\/b><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1863 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria11.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898888\" id=\"e-n-tab-content-1288898888\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-b94f81c e-grid e-con-boxed e-con e-child\" data-id=\"b94f81c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-ab50f2f e-con-full e-flex e-con e-child\" data-id=\"ab50f2f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a551cbe elementor-widget elementor-widget-text-editor\" data-id=\"a551cbe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"color: #338fff;\">Medidas Generales<\/b><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1864 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria12.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-1288898889\" id=\"e-n-tab-content-1288898889\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-b10d127 e-flex e-con-boxed e-con e-child\" data-id=\"b10d127\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-7b7c727 e-con-full e-flex e-con e-child\" data-id=\"7b7c727\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-619b7ac elementor-widget elementor-widget-text-editor\" data-id=\"619b7ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"color: #338fff;\">Manejo seg\u00fan tratamiento<\/b><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1865 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria13.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-12888988810\" id=\"e-n-tab-content-12888988810\" data-tab-index=\"10\" style=\"--n-tabs-title-order: 10;\" class=\" elementor-element elementor-element-c1f2e68 e-flex e-con-boxed e-con e-child\" data-id=\"c1f2e68\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-502c268 e-con-full e-flex e-con e-child\" data-id=\"502c268\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0ee20 elementor-widget elementor-widget-text-editor\" data-id=\"bd0ee20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"color: #338fff;\">Seguimiento<\/b><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1866 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Hipercalciuria14.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-12888988811\" id=\"e-n-tab-content-12888988811\" data-tab-index=\"11\" style=\"--n-tabs-title-order: 11;\" class=\" elementor-element elementor-element-61ab3e8 e-con-full e-grid e-con e-child\" data-id=\"61ab3e8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-25c5ea8 e-con-full e-flex e-con e-child\" data-id=\"25c5ea8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-b9a465f e-con-full e-flex e-con e-child\" data-id=\"b9a465f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b68cdc5 elementor-widget elementor-widget-text-editor\" data-id=\"b68cdc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>Duerto, Mar\u00eda Jos\u00e9 <sup>1<\/sup>\u00a0Hern\u00e1ndez, Richard <sup>2<\/sup>\u00a0Albornoz, Cristhy <sup>3<\/sup>\u00a0Est\u00e9vez, Liliana <sup>4<\/sup>\u00a0Moy, Claudia <sup>5<\/sup><\/p><p><em><sup>1.Fazgan. Nefr\u00f3logo\/Pediatra\u00a0 (Fondo \u00danico de los Trabajadores de la Gobernaci\u00f3n del Edo Anzo\u00e1tegui.) 2..Nefrologo\/Pediatra, Hospital Central de San Crist\u00f3bal (T\u00e1chira) 3. Nefr\u00f3logo \/Pediatra. SAHUM Servicio Aut\u00f3nomo Hospital Universitario de Maracaibo (Zulia) 4. Nefr\u00f3logo Pediatra. Hospital Central de Valle de la Pascua. 5. Nefr\u00f3logo\/Pediatra. Instituto m\u00e9dico La Floresta. Grupo Sta Paula.<\/sup><\/em><\/p><p><sup>Autor Corresponsal: Hern\u00e1ndez Richard<\/sup><\/p><p><strong><sup>Correo: richardnef@gmail.com<\/sup><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-12888988812\" id=\"e-n-tab-content-12888988812\" data-tab-index=\"12\" style=\"--n-tabs-title-order: 12;\" class=\" elementor-element elementor-element-4f51ae8 e-con-full e-grid e-con e-child\" data-id=\"4f51ae8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-d9fd7c4 e-con-full e-flex e-con e-child\" data-id=\"d9fd7c4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-ed7c3cf e-con-full e-flex e-con e-child\" data-id=\"ed7c3cf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8007b96 elementor-widget elementor-widget-text-editor\" data-id=\"8007b96\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><ul><li>. Milliner DA. Urolithiasis. En: Pediatric Nephrology. Avner ED, Harmon WE. Niaudet P. (5\u00aa ed.). Philadelphia: Lippincott Willians &amp; Wilkins 2004; p. 1091-1111.<\/li><li>Butani L, Kalia A. Idiopathic hypercalciuria in children&#8211;how valid are the existing diagnostic criteria? Pediatr Nephrol 2004; 19:577-582.<\/li><li>Insogna KL, Broadus AE, Dreyer BE, Ellison AF, Gertner JM. Elevated production rate of 1,25-dihydroxyvitamin D in patients with absorptive hypercalciuria. J Clin Endocrinol Metab 1985; 61:490-495.<\/li><li>Pak CYC, OhataM, Lawrence EC, Snyder W. The hypercalciuria: causes, parathyroid functions and diagnostic criteria. J Clin Invest 1974; 54:387-400.<\/li><\/ul><p>\u00a05. Messa P, Mioni G, Montanaro D, Adorati M, Antonucci F, Favazza A, Messa M, Enzmann G, Paganin L, Nardini R. About a primitive osseous origin of the so-called &#8216;renal hypercalciuria&#8217;. Contrib Nephrol 1987; 58:106-110.<\/p><ul><li>Alon U, Warady BA, Hellerstein S. Hypercalciuria in the frequency-dysuria syndrome of childhood. J Pediatr 1990; 116:103-105.<\/li><li>L\u00f3pez MM, Castillo LA, Ch\u00e1vez JB, Ramones C. Hypercalciuria and recurrent urinary tract infection in Venezuelan children. Pediatr Nephrol 1999; 13: 433-437.<\/li><li>Garc\u00eda-Nieto V, Ferr\u00e1ndez C, Monge M, de Sequera M, Rodrigo MD. Bone mineral density in pediatric patients with idiopathic hypercalciuria. Pediatr Nephrol 1997; 11: 578-583. . Garc\u00eda-Nieto V, Monge Zamorano M, Rodrigo Jim\u00e9nez MD, Callej\u00f3n Callej\u00f3n A, Gaspar Guardado A, Garc\u00eda Rodr\u00edguez VE. Estudio evolutivo de la densidad mineral \u00f3sea en ni\u00f1os diagnosticados de hipercalciuria idiop\u00e1tica. Su relaci\u00f3n con la calciuria y con la eliminaci\u00f3n urinaria de desoxipiridinolina, determinadas en dos momentos del d\u00eda. Nefrolog\u00eda 2004; 24: 610.<\/li><li>La Manna A, Polito C, Cioce F, De Maria G, Capacchione A, Rocco CE, Papale MR, Romei L. Calyceal microlithiasis in children: report on 196 cases. Pediatr Nephrol 1998; 12: 214-217.<\/li><li>Garc\u00eda Nieto V, Ferr\u00e1ndez C, Monge M, V\u00e1zquez C. Biocheminal markers of bone activity in children with idiopathic hypercalciuria. Pediatr Nephrol 2001; 16: C15. 12. Weisinger JR. New insights into the pathog.<\/li><\/ul><p>\u00a0\u00a0<span lang=\"ES-US\" style=\"font-size: 24pt; line-height: 107%; font-family: Calibri, sans-serif; color: black;\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-12888988813\" id=\"e-n-tab-content-12888988813\" data-tab-index=\"13\" style=\"--n-tabs-title-order: 13;\" class=\" elementor-element elementor-element-6dd2420 e-con-full e-grid e-con e-child\" data-id=\"6dd2420\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-6f25310 e-con-full e-flex e-con e-child\" data-id=\"6f25310\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1673\" class=\"elementor-element elementor-element-778180e e-con-full e-flex e-con e-child\" data-id=\"778180e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d907eb8 elementor-widget elementor-widget-text-editor\" data-id=\"d907eb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Recomendaciones para los padres de familia\u00a0<\/strong><\/span><\/p><table width=\"972\"><tbody><tr><td width=\"506\"><p><strong>QU\u00c9 HACER (<\/strong><strong>\u2714\ufe0f<\/strong><strong>)<\/strong><\/p><\/td><td width=\"466\"><p><strong>QU\u00c9 EVITAR (<\/strong><strong>\u274c<\/strong><strong>)<\/strong><\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Hidratar<\/strong>\u00a0con\u00a0<strong>agua<\/strong>\u00a0constantemente.<\/p><\/td><td width=\"466\"><p>Dar\u00a0<strong>refrescos<\/strong>, jugos envasados y bebidas azucaradas.<\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Ofrecer<\/strong>\u00a0la\u00a0<strong>dosis justa<\/strong>\u00a0de calcio seg\u00fan su edad (l\u00e1cteos, etc.).<\/p><\/td><td width=\"466\"><p><strong>Eliminar<\/strong>\u00a0por completo los l\u00e1cteos y el calcio de la dieta.<\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Cocinar<\/strong>\u00a0con\u00a0<strong>poca sal<\/strong>\u00a0y usar especias\/hierbas arom\u00e1ticas para dar sabor.<\/p><\/td><td width=\"466\"><p>Poner el\u00a0<strong>salero en la mesa<\/strong>\u00a0y consumir snacks salados, precocinados y embutidos.<\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Mantener<\/strong>\u00a0un\u00a0<strong>peso saludable<\/strong>\u00a0y vida activa.<\/p><\/td><td width=\"466\"><p>Permitir el\u00a0<strong>sedentarismo<\/strong>\u00a0y el exceso de peso.<\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Cumplir<\/strong>\u00a0estrictamente con el\u00a0<strong>control m\u00e9dico<\/strong>\u00a0y los tratamientos recetados.<\/p><\/td><td width=\"466\"><p><strong>Automedicar<\/strong>\u00a0o suspender los medicamentos sin consultar al m\u00e9dico.<\/p><\/td><\/tr><tr><td width=\"506\"><p><strong>Educar<\/strong>\u00a0al ni\u00f1o (seg\u00fan su edad) sobre la importancia de beber agua y comer sano.<\/p><\/td><td width=\"466\"><p>Crear una obsesi\u00f3n por la enfermedad o una ambiente de restricci\u00f3n constante que genere ansiedad.<\/p><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1673 e-n-tab-title-12888988814\" id=\"e-n-tab-content-12888988814\" data-tab-index=\"14\" style=\"--n-tabs-title-order: 14;\" class=\" elementor-element elementor-element-d0b262f e-flex e-con-boxed e-con e-child\" data-id=\"d0b262f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b7ad6d7 elementor-widget elementor-widget-text-editor\" data-id=\"b7ad6d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/HIPERCALCIURIA.pdf\">Gu\u00eda Cl\u00ednica Hipercalciuria<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1674\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1674\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Enuresis nocturna <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span 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class=\"attachment-large size-large wp-image-1887\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Enuresis-1-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Enuresis-1-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Enuresis-1-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Enuresis-1-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Enuresis-1.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c670111 elementor-widget elementor-widget-image\" data-id=\"c670111\" data-element_type=\"widget\" data-e-type=\"widget\" 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8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tBibliograf\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-2192215168\" data-tab-title-id=\"e-n-tab-title-2192215168\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"8\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2192215168\" style=\"--n-tabs-title-order: 8;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book-reader\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M352 96c0-53.02-42.98-96-96-96s-96 42.98-96 96 42.98 96 96 96 96-42.98 96-96zM233.59 241.1c-59.33-36.32-155.43-46.3-203.79-49.05C13.55 191.13 0 203.51 0 219.14v222.8c0 14.33 11.59 26.28 26.49 27.05 43.66 2.29 131.99 10.68 193.04 41.43 9.37 4.72 20.48-1.71 20.48-11.87V252.56c-.01-4.67-2.32-8.95-6.42-11.46zm248.61-49.05c-48.35 2.74-144.46 12.73-203.78 49.05-4.1 2.51-6.41 6.96-6.41 11.63v245.79c0 10.19 11.14 16.63 20.54 11.9 61.04-30.72 149.32-39.11 192.97-41.4 14.9-.78 26.49-12.73 26.49-27.06V219.14c-.01-15.63-13.56-28.01-29.81-27.09z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tInformaci\u00f3n Padres\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-2192215169\" data-tab-title-id=\"e-n-tab-title-2192215169\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"9\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2192215169\" style=\"--n-tabs-title-order: 9;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215161\" id=\"e-n-tab-content-2192215161\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-ad6b037 e-con-full e-grid e-con e-child\" data-id=\"ad6b037\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-a28f45b e-con-full e-flex e-con e-child\" data-id=\"a28f45b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-2dab8c4 e-con-full e-flex e-con e-child\" data-id=\"2dab8c4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4cff2b elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d4cff2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Definici\u00f3n\u00a0<\/b><\/span><\/p><ul><li><strong>Enuresis Nocturna (EN):<\/strong>Emisi\u00f3n repetida de orina durante el sue\u00f1o en ni\u00f1os con edad mental de 5 a\u00f1os o m\u00e1s, que ocurre al menos dos veces por semana durante tres meses consecutivos o produce malestar\/deterioro cl\u00ednicamente significativo y que no est\u00e1 asociado a patolog\u00edas de base o al efecto directo de sustancias.<\/li><li><strong>Enuresis Monosintom\u00e1tica (EM):<\/strong>Enuresis nocturna sin s\u00edntomas diurnos del tracto urinario inferior (no hay urgencia, incontinencia diurna, frecuencia anormal, chorro entrecortado, maniobras de contenci\u00f3n, etc.) ni antecedentes que sugieran disfunci\u00f3n vesical.<\/li><li><strong>Enuresis No Monosintom\u00e1tica (ENM):<\/strong>Enuresis nocturna asociada a cualquier s\u00edntoma diurno del tracto urinario inferior (p. ej., urgencia, incontinencia diurna, frecuencia aumentada o disminuida, vaciado incompleto, chorro d\u00e9bil\/entrecortado, esfuerzo miccional).<\/li><li><strong>Enuresis Primaria (EP): <\/strong>enuresis en la cual\u00a0el ni\u00f1o nunca ha mantenido un periodo sostenido de continencia nocturna (sequedad nocturna), durante 6 o m\u00e1s meses consecutivos.<\/li><li><strong>Enuresis Secundaria (ES):<\/strong>Reaparici\u00f3n de enuresis despu\u00e9s de haber logrado continencia nocturna sostenida durante al menos 6 meses.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215162\" id=\"e-n-tab-content-2192215162\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-a767d0b e-grid e-con-boxed e-con e-child\" data-id=\"a767d0b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-4c38727 e-con-full e-grid e-con e-child\" data-id=\"4c38727\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2bbafd8 elementor-widget elementor-widget-text-editor\" data-id=\"2bbafd8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Diagn\u00f3stico: criterios y\u00a0 puebas<\/b><\/span><\/p><p><strong>2.1. Criterios Diagn\u00f3sticos (Consenso DSM-5 \/ ICCS)<\/strong><br \/>El diagn\u00f3stico requiere cumplir los siguientes criterios:<\/p><ul><li><strong>Edad:<\/strong>edad mental \u2265 5 a\u00f1os (o cronol\u00f3gica con desarrollo mental adecuado para la edad).<\/li><li><strong>Frecuencia:<\/strong>\u2265 2 episodios\/semana (DSM-5) o \u2265 1 episodio\/mes (ICCS).<\/li><li><strong>Duraci\u00f3n:<\/strong>\u2265 3 meses consecutivos.<\/li><li><strong>Exclusi\u00f3n:<\/strong>No atribuible a un efecto de sustancias (p. ej., diur\u00e9ticos) o a otra condici\u00f3n m\u00e9dica que explique directamente la micci\u00f3n (p. ej., diabetes mellitus descompensada, malformaciones o lesiones neurol\u00f3gicas).<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><strong>2.2. Proceso Diagn\u00f3stico y Pruebas Complementarias<\/strong><\/p><ul><li><strong>Historia Cl\u00ednica Detallada:<\/strong>Anamnesis dirigida. Definir las caracter\u00edsticas de la enuresis: si es primaria o secundaria, frecuencia semanal, volumen de escapes, momento de la noche, si hay micci\u00f3n previa a dormir o cambios en los patrones identificados. <br \/>Identificar historia familiar de enuresis, ITU previas, descartar malformaciones urol\u00f3gicas, patolog\u00eda neurol\u00f3gica, diabetes, f\u00e1rmacos (diur\u00e9ticos).<br \/>Determinar cambios en el contexto psicosocial: Estr\u00e9s, cambios familiares\/escolares, motivaci\u00f3n y valorar la adherencia potencial al tratamiento.<\/li><li><strong>Diario Miccional de 72h:<\/strong>un diario miccional realizado durante 72 horas proporciona informaci\u00f3n objetiva y cuantificable sobre: la frecuencia miccional, volumen miccional, patr\u00f3n de poliuria nocturna, h\u00e1bitos de ingesta de l\u00edquidos y episodios de incontinencia. Se recomienda como parte de la evaluaci\u00f3n inicial, ayuda a identificar entre Enuresis Monosintom\u00e1tica (EM) y No Monosintom\u00e1tica (ENM).<\/li><\/ul><ol><li>a) <strong>Frecuencia Miccional: <\/strong>para identificar Vejiga hiperactiva o de baja capacidad (ENM) en patrones de frecuencia urinaria alta; o d\u00e9ficit nocturno de ADH (EM) en patrones de frecuencia urinaria normal.<\/li><li>b) <strong>Volumen Miccional M\u00e1ximo (VMM):<\/strong> Se identifica el volumen m\u00e1s alto de orina medido. Se compara con la capacidad funcional de la vejiga esperada para la edad (F\u00f3rmula: [Edad en a\u00f1os + 1] x 30 = ml esperados). Un VMM bajo sugiere vejiga de baja capacidad.<\/li><li>c) <strong>Poliuria Nocturna:<\/strong> Se calcula comparando la producci\u00f3n de orina nocturna con la capacidad de la vejiga. La ICCS define la poliuria nocturna como la producci\u00f3n de orina nocturna &gt;130% de la capacidad vesical esperada para la edad. Un diario preciso es clave para este diagn\u00f3stico.<\/li><li>d) <strong>Ingesta de L\u00edquidos:<\/strong> tomando en cuenta principalmente los aportes vespertinos y nocturnos. Esto tambi\u00e9n debe detallar el tipo de bebida, con importancia especial en bebidas con cafe\u00edna, gasificadas o con chocolate.<\/li><li>e) <strong>Patr\u00f3n de Incontinencia:<\/strong> Los episodios de escape de orina, su relaci\u00f3n con la actividad y el momento del d\u00eda, esto ayuda a diferenciar entre EM y ENM.<\/li><\/ol><ul><li><strong>Examen F\u00edsico:<\/strong>Abdominal, neurol\u00f3gico (valoraci\u00f3n de reflejos sacros), inspecci\u00f3n de regi\u00f3n lumbosacra y genitales para descartar comorbilidades.<\/li><li><strong>Pruebas de Primera L\u00ednea (Recomendadas para todos los casos):<\/strong><ul><li><strong>Uroan\u00e1lisis y Urocultivo:<\/strong>Descartar infecci\u00f3n.<\/li><li><strong>Glucemia:<\/strong>Descartar diabetes mellitus.<\/li><\/ul><\/li><li><strong>Pruebas de Segunda L\u00ednea (Seg\u00fan sospecha cl\u00ednica o ENM):<\/strong><ul><li><strong>Ecograf\u00eda Renal y Vesical (Pre y Post-miccional):<\/strong>Valorar morfolog\u00eda y residuo Post-miccional.<\/li><li><strong>Estudios Urodin\u00e1micos:<\/strong>Reservado para casos complejos de ENM o refractarios.<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215163\" id=\"e-n-tab-content-2192215163\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-b5e1eda e-grid e-con-boxed e-con e-child\" data-id=\"b5e1eda\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-da53508 e-con-full e-flex e-con e-child\" data-id=\"da53508\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-787ace2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"787ace2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Factores de riesgo<\/b><\/span><\/p><ul><li><strong>Gen\u00e9ticos:<\/strong>Historia familiar positiva (riesgo &gt;70% si ambos padres enur\u00e9ticos).<\/li><li><strong>Ambientales:<\/strong>Bajo nivel socioecon\u00f3mico, h\u00e1bitos higi\u00e9nicos deficientes.<\/li><li><strong>Psicosociales:<\/strong>Estr\u00e9s, separaci\u00f3n parental, llegada de un nuevo hermano.<\/li><li><strong>M\u00e9dicos:<\/strong>Estre\u00f1imiento, infecciones urinarias recurrentes, s\u00edndrome de apnea-hipopnea del sue\u00f1o (SAHS).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215164\" id=\"e-n-tab-content-2192215164\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-99fc367 e-flex e-con-boxed e-con e-child\" data-id=\"99fc367\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-e35bdc0 e-con-full e-flex e-con e-child\" data-id=\"e35bdc0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a2da07b elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"a2da07b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tratamiento detallado\u00a0<\/b><\/span><\/p><p><strong>4.1. Medidas Conductuales y de Estilo de Vida (Base del Tratamiento)<\/strong><\/p><ul><li><strong>Educaci\u00f3n y Desmitificaci\u00f3n:<\/strong>Explicar la naturaleza involuntaria del trastorno.<\/li><li><strong>H\u00e1bitos Miccionales:<\/strong>Micci\u00f3n programada cada 2-3h, doble micci\u00f3n antes de dormir.<\/li><li><strong>Manejo de L\u00edquidos:<\/strong>Restricci\u00f3n de l\u00edquidos 1-2h antes de dormir. Eliminar cafe\u00edna.<\/li><li><strong>Manejo del Estre\u00f1imiento:<\/strong>Dieta rica en fibra, laxantes si es necesario (objetivo: 1 deposici\u00f3n blanda\/d\u00eda).<\/li><\/ul><p><strong>4.2. Tratamientos Activos de Primera L\u00ednea<\/strong><br \/><strong>A. Terapia con Alarma de Enuresis<\/strong><\/p><ul><li><strong>Indicaci\u00f3n:<\/strong>Primera elecci\u00f3n en EM familiarmente comprometida.<\/li><li><strong>Mecanismo:<\/strong>Condicionamiento para despertar ante la sensaci\u00f3n de vejiga llena.<\/li><li><strong>Protocolo:<\/strong>Uso nightly. Evaluar respuesta a las 2-4 semanas. Continuar hasta 14 noches secas consecutivas (m\u00ednimo 12-16 semanas).<\/li><li><strong>Efectividad:<\/strong>60-80% de respuesta inicial. Tasa de reca\u00edda del 50%. Re-tratamiento efectivo.<\/li><\/ul><ol><li><strong> Desmopresina (An\u00e1logo de la Hormona Antidiur\u00e9tica)<\/strong><\/li><\/ol><ul><li><strong>Indicaci\u00f3n:<\/strong>EM con poliuria nocturna confirmada, necesidad r\u00e1pida de sequedad (ej., campamentos).<\/li><li><strong>Presentaci\u00f3n:<\/strong><em>Melt<\/em>\u00a0oral (l\u00edoquisto) o comprimidos.<\/li><li><strong>Dosis:<\/strong><ul><li><strong>Inicio:<\/strong><em>Melt<\/em>\u00a0120 mcg (equiv. a comp. 0.2 mg) 30-60 min antes de dormir.<\/li><li><strong>Titulaci\u00f3n:<\/strong>Si no hay respuesta en 1-2 semanas, aumentar a\u00a0<em>Melt<\/em>\u00a0240 mcg (equiv. a comp. 0.4 mg).<\/li><li><strong>Dosis M\u00e1xima:<\/strong><em>Melt<\/em>\u00a0360 mcg (equiv. a comp. 0.6 mg).<\/li><\/ul><\/li><li><strong>Efectos Adversos:<\/strong>Cefalea, n\u00e1useas.\u00a0<strong>\u00a1HIPONATREMIA!<\/strong>\u00a0(rara pero grave).<\/li><li><strong>Contraindicaci\u00f3n absoluta:<\/strong>Polidipsia compulsiva.<\/li><li><strong>Precauci\u00f3n:<\/strong><strong>Restricci\u00f3n h\u00eddrica estricta<\/strong>\u00a0desde 1h antes hasta 8h despu\u00e9s de la administraci\u00f3n (solo sorbos de agua).<\/li><\/ul><p><strong>4.3. Tratamientos de Segunda L\u00ednea y Combinados<\/strong><br \/><strong>A. Anticolin\u00e9rgicos (Oxibutinina, Solifenacina)<\/strong><\/p><ul><li><strong>Indicaci\u00f3n:<\/strong>ENM con vejiga hiperactiva demostrada,\u00a0<strong>nunca como monoterapia para EN<\/strong>.<\/li><li><strong>Uso:<\/strong>Combinados con Desmopresina o Alarma.<\/li><li><strong>Efectos Adversos:<\/strong>Sequedad bucal, estre\u00f1imiento, rubor, retenci\u00f3n urinaria.<\/li><\/ul><ol><li><strong> Terapia Combinada (Alarma + Desmopresina)<\/strong><\/li><\/ol><ul><li><strong>Indicaci\u00f3n:<\/strong>Casos refractarios a monoterapia, especialmente con poliuria nocturna.<\/li><\/ul><p><strong>4.4. Terapias Avanzadas y Emergentes (Sujetas a Evaluaci\u00f3n por Especialista)<\/strong><\/p><ul><li><strong>Mirabegr\u00f3n:<\/strong>Agonista \u03b23-adren\u00e9rgico. \u00datil en vejiga hiperactiva con estre\u00f1imiento donde los anticolin\u00e9rgicos est\u00e1n contraindicados. Monitorizar TA.<\/li><li><strong>Neuromodulaci\u00f3n (TENS):<\/strong>Para enuresis refractaria en ni\u00f1os mayores\/adolescentes. Estimulaci\u00f3n el\u00e9ctrica transcut\u00e1nea de nervios sacros (S2-S4). Protocolo de 8-12 semanas.<\/li><\/ul><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215165\" id=\"e-n-tab-content-2192215165\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-3df928f e-flex e-con-boxed e-con e-child\" data-id=\"3df928f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-255cb37 e-con-full e-grid e-con e-child\" data-id=\"255cb37\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-359bf45 elementor-widget elementor-widget-text-editor\" data-id=\"359bf45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Seguimiento, pron\u00f3stico y criterios<\/b><\/span><\/p><p><strong>4.1. Medidas Conductuales y de Estilo de Vida (Base del Tratamiento)<\/strong><\/p><ul><li><strong>Educaci\u00f3n y Desmitificaci\u00f3n:<\/strong>Explicar la naturaleza involuntaria del trastorno.<\/li><li><strong>H\u00e1bitos Miccionales:<\/strong>Micci\u00f3n programada cada 2-3h, doble micci\u00f3n antes de dormir.<\/li><li><strong>Manejo de L\u00edquidos:<\/strong>Restricci\u00f3n de l\u00edquidos 1-2h antes de dormir. Eliminar cafe\u00edna.<\/li><li><strong>Manejo del Estre\u00f1imiento:<\/strong>Dieta rica en fibra, laxantes si es necesario (objetivo: 1 deposici\u00f3n blanda\/d\u00eda).<\/li><\/ul><p><strong>4.2. Tratamientos Activos de Primera L\u00ednea<\/strong><br \/><strong>A. Terapia con Alarma de Enuresis<\/strong><\/p><ul><li><strong>Indicaci\u00f3n:<\/strong>Primera elecci\u00f3n en EM familiarmente comprometida.<\/li><li><strong>Mecanismo:<\/strong>Condicionamiento para despertar ante la sensaci\u00f3n de vejiga llena.<\/li><li><strong>Protocolo:<\/strong>Uso nightly. Evaluar respuesta a las 2-4 semanas. Continuar hasta 14 noches secas consecutivas (m\u00ednimo 12-16 semanas).<\/li><li><strong>Efectividad:<\/strong>60-80% de respuesta inicial. Tasa de reca\u00edda del 50%. Re-tratamiento efectivo.<\/li><\/ul><ol><li><strong> Desmopresina (An\u00e1logo de la Hormona Antidiur\u00e9tica)<\/strong><\/li><\/ol><ul><li><strong>Indicaci\u00f3n:<\/strong>EM con poliuria nocturna confirmada, necesidad r\u00e1pida de sequedad (ej., campamentos).<\/li><li><strong>Presentaci\u00f3n:<\/strong><em>Melt<\/em>\u00a0oral (l\u00edoquisto) o comprimidos.<\/li><li><strong>Dosis:<\/strong><ul><li><strong>Inicio:<\/strong><em>Melt<\/em>\u00a0120 mcg (equiv. a comp. 0.2 mg) 30-60 min antes de dormir.<\/li><li><strong>Titulaci\u00f3n:<\/strong>Si no hay respuesta en 1-2 semanas, aumentar a\u00a0<em>Melt<\/em>\u00a0240 mcg (equiv. a comp. 0.4 mg).<\/li><li><strong>Dosis M\u00e1xima:<\/strong><em>Melt<\/em>\u00a0360 mcg (equiv. a comp. 0.6 mg).<\/li><\/ul><\/li><li><strong>Efectos Adversos:<\/strong>Cefalea, n\u00e1useas.\u00a0<strong>\u00a1HIPONATREMIA!<\/strong>\u00a0(rara pero grave).<\/li><li><strong>Contraindicaci\u00f3n absoluta:<\/strong>Polidipsia compulsiva.<\/li><li><strong>Precauci\u00f3n:<\/strong><strong>Restricci\u00f3n h\u00eddrica estricta<\/strong>\u00a0desde 1h antes hasta 8h despu\u00e9s de la administraci\u00f3n (solo sorbos de agua).<\/li><\/ul><p><strong>4.3. Tratamientos de Segunda L\u00ednea y Combinados<\/strong><br \/><strong>A. Anticolin\u00e9rgicos (Oxibutinina, Solifenacina)<\/strong><\/p><ul><li><strong>Indicaci\u00f3n:<\/strong>ENM con vejiga hiperactiva demostrada,\u00a0<strong>nunca como monoterapia para EN<\/strong>.<\/li><li><strong>Uso:<\/strong>Combinados con Desmopresina o Alarma.<\/li><li><strong>Efectos Adversos:<\/strong>Sequedad bucal, estre\u00f1imiento, rubor, retenci\u00f3n urinaria.<\/li><\/ul><ol><li><strong> Terapia Combinada (Alarma + Desmopresina)<\/strong><\/li><\/ol><ul><li><strong>Indicaci\u00f3n:<\/strong>Casos refractarios a monoterapia, especialmente con poliuria nocturna.<\/li><\/ul><p><strong>4.4. Terapias Avanzadas y Emergentes (Sujetas a Evaluaci\u00f3n por Especialista)<\/strong><\/p><ul><li><strong>Mirabegr\u00f3n:<\/strong>Agonista \u03b23-adren\u00e9rgico. \u00datil en vejiga hiperactiva con estre\u00f1imiento donde los anticolin\u00e9rgicos est\u00e1n contraindicados. Monitorizar TA.<\/li><li><strong>Neuromodulaci\u00f3n (TENS):<\/strong>Para enuresis refractaria en ni\u00f1os mayores\/adolescentes. Estimulaci\u00f3n el\u00e9ctrica transcut\u00e1nea de nervios sacros (S2-S4). Protocolo de 8-12 semanas.<\/li><\/ul><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215166\" id=\"e-n-tab-content-2192215166\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-2552474 e-con-full e-grid e-con e-child\" data-id=\"2552474\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-d67d493 e-con-full e-flex e-con e-child\" data-id=\"d67d493\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-558e5f4 e-con-full e-flex e-con e-child\" data-id=\"558e5f4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ac86245 elementor-widget elementor-widget-text-editor\" data-id=\"ac86245\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>Hern\u00e1ndez Richard\u00b9 Est\u00e9vez Liliana\u00b2, Albornoz, Cristhy\u00b3 Moy, Claudia\u2074 Duerto, Mar\u00eda Jos\u00e9\u2075<\/p><p><em>Nefr\u00f3logo\/Pediatra Hospital Central de San Crist\u00f3bal (T\u00e1chira) 2.<\/em><\/p><p><em>Nefr\u00f3logo\/Pediatra Hospital Central de Valle la Pascua (Gu\u00e1rico) 3. Nefr\u00f3logo\/Pediatra <\/em><\/p><p><em>SAHUM Servicio Aut\u00f3nomo Hospital Universitario de Maracaibo (Zulia) 4. Instituto <\/em><\/p><p><em>M\u00e9dico la Floresta Grupo M\u00e9dico Santa Paula (Distrito Capital) 5. Imdelmedicalcenter Barcelona Cl\u00ednica M\u00e9rida Anaco (Anzo\u00e1tegui) <\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215167\" id=\"e-n-tab-content-2192215167\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-5bbfb74 e-con-full e-grid e-con e-child\" data-id=\"5bbfb74\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-60b8392 e-con-full e-flex e-con e-child\" data-id=\"60b8392\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-c3e889f e-con-full e-flex e-con e-child\" data-id=\"c3e889f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ae02a5 elementor-widget elementor-widget-text-editor\" data-id=\"8ae02a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><ol><li>American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.<\/li><li>Nev\u00e9us, T., et al. (2020). The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Update Report from the Standardization Committee of the International Children&#8217;s Continence Society.\u00a0<em>Journal of Urology<\/em>, 203(3), 570-578.<\/li><li>The National Institute for Health and Care Excellence (NICE). (2010). Nocturnal enuresis: the management of bedwetting in children and young people. Clinical guideline CG111.<\/li><li>Austin, P. F., et al. (2014). The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Update Report from the Standardization Committee of the International Children&#8217;s Continence Society.\u00a0<em>Journal of Urology<\/em>, 191(6), 1863-1865.<\/li><li>Vande Walle, J., et al. (2012). Practical consensus guidelines for the management of enuresis.\u00a0<em>European Journal of Pediatrics<\/em>, 171(6), 971-983.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215168\" id=\"e-n-tab-content-2192215168\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-6c28124 e-con-full e-grid e-con e-child\" data-id=\"6c28124\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-9d134ef e-con-full e-flex e-con e-child\" data-id=\"9d134ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1674\" class=\"elementor-element elementor-element-96309cc e-con-full e-flex e-con e-child\" data-id=\"96309cc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15b55a3 elementor-widget elementor-widget-text-editor\" data-id=\"15b55a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Recomendaciones para los padres de familia\u00a0<\/strong><\/span><\/p><p>\ud83e\udde0 Comprensi\u00f3n y apoyo emocional<\/p><ul><li>Evita castigos o rega\u00f1os: El ni\u00f1o no lo hace a prop\u00f3sito. Castigarlo solo aumenta su ansiedad y empeora el problema.<\/li><li>Refuerza su autoestima: Elogia los avances, por peque\u00f1os que sean. Un calendario con soles y lunas seg\u00fan los d\u00edas secos o mojados puede motivarlo.<\/li><li>Fomenta el di\u00e1logo: Habla con tu hijo sobre lo que siente. A veces, detr\u00e1s de la enuresis hay estr\u00e9s o inseguridad.<\/li><\/ul><p>\ud83d\udecf\ufe0f H\u00e1bitos antes de dormir<\/p><ul><li>Reducir l\u00edquidos por la noche: Evita que beba mucho despu\u00e9s de las 7 p.m., especialmente bebidas con cafe\u00edna como t\u00e9 o refrescos.<\/li><li>Ir al ba\u00f1o antes de acostarse: Aseg\u00farate de que vac\u00ede la vejiga justo antes de dormir.<\/li><li>Facilita el acceso al ba\u00f1o: Si el ba\u00f1o est\u00e1 lejos o poco iluminado, puede darle pereza levantarse. Usa luces nocturnas o un orinal cerca<\/li><\/ul><p>\ud83d\udcc5 Rutinas y seguimiento<\/p><ul><li>Establece horarios regulares: Una rutina consistente para acostarse y levantarse ayuda a regular el cuerpo.<\/li><li>Calendario miccional: Dibujar un sol cuando la cama est\u00e1 seca y una luna cuando no lo est\u00e1 puede ser una herramienta visual motivadora.<\/li><li>Autoafirmaciones: An\u00edmalo a repetir frases como \u201csoy capaz de controlar mi pis\u201d para reforzar su confianza.<\/li><\/ul><p>\ud83e\ude7a Consulta profesional<\/p><ul><li>Descarta causas m\u00e9dicas: Si el problema persiste m\u00e1s all\u00e1 de los 6 a\u00f1os, es recomendable consultar con un pediatra o ur\u00f3logo.<\/li><li>Apoyo psicol\u00f3gico: En algunos casos, puede ser \u00fatil la orientaci\u00f3n de un psic\u00f3logo infantil, especialmente si hay factores emocionales involucrados.<\/li><\/ul><p>Si te interesa una gu\u00eda m\u00e1s detallada, puedes explorar los consejos completos en Guiainfantil.com o Psicolog\u00eda y Mente.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1674 e-n-tab-title-2192215169\" id=\"e-n-tab-content-2192215169\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-9467542 e-flex e-con-boxed e-con e-child\" data-id=\"9467542\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-23588d4 elementor-widget elementor-widget-text-editor\" data-id=\"23588d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/ENURESIS-NOCTURNA.pdf\">Gu\u00eda Cl\u00ednica Enuresis<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9df370e e-flex e-con-boxed e-con e-parent\" data-id=\"9df370e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-91b7aea e-grid e-con-full e-con e-child\" data-id=\"91b7aea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9341cab e-grid e-con-full e-con e-child\" data-id=\"9341cab\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7a6d70f elementor-align-center elementor-widget elementor-widget-button\" data-id=\"7a6d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-push\" href=\"https:\/\/videoteca.svpediatria.org\/?page_id=624\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-circle-left\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 504C119 504 8 393 8 256S119 8 256 8s248 111 248 248-111 248-248 248zm28.9-143.6L209.4 288H392c13.3 0 24-10.7 24-24v-16c0-13.3-10.7-24-24-24H209.4l75.5-72.4c9.7-9.3 9.9-24.8.4-34.3l-11-10.9c-9.4-9.4-24.6-9.4-33.9 0L107.7 239c-9.4 9.4-9.4 24.6 0 33.9l132.7 132.7c9.4 9.4 24.6 9.4 33.9 0l11-10.9c9.5-9.5 9.3-25-.4-34.3z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Regresar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Nefrolog\u00eda ITU A B C D E F G H I J Autores Bibliograf\u00eda Informaci\u00f3n Padres Descargar Gu\u00eda Definici\u00f3n y etiolog\u00eda Definici\u00f3n:\u00a0Es el conjunto de signos y s\u00edntomas producto de la invasi\u00f3n, colonizaci\u00f3n y multiplicaci\u00f3n de microorganismos a lo largo de la v\u00eda urinaria. Etiolog\u00eda:\u00a0Enterobacterias son los uropat\u00f3genos m\u00e1s frecuentes, principalmente por Escherichia coli (85%).&hellip;&nbsp;<a href=\"https:\/\/videoteca.svpediatria.org\/?page_id=1751\" rel=\"bookmark\"><span class=\"screen-reader-text\">Nefrolog\u00eda<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-pagebuilder-full-width.php","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-1751","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/1751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1751"}],"version-history":[{"count":118,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/1751\/revisions"}],"predecessor-version":[{"id":2000,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/1751\/revisions\/2000"}],"wp:attachment":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}