scholarly journals Treatment of vesicouretheral reflux in pediatric patients

2009 ◽  
Vol 66 (5) ◽  
pp. 388-394 ◽  
Author(s):  
Slobodan Grebeldinger ◽  
Branka Radojcic ◽  
Igor Meljnikov ◽  
Svetlana Balj
Keyword(s):  
Urinary Tract ◽  
Success Rate ◽  
Urinary Tract Infections ◽  
Pediatric Patients ◽  
Treatment Method ◽  
The Body ◽  
Special Focus ◽  
Associated Anomalies ◽  
Endoscopic Injection ◽  
Tract Infections

Background/Aim. Vesicouretheral reflux (VUR) is an inherited abnormality of the urinary tract caused by dysfunction of vesicouretheral junction frequently accompanied by recurrent urinary infection. The optimal treatment method of VUR is still controversial. The aim of the study was to analyze medical charts of children with VUR with special focus on the results of endoscopic treatment with Deflux. Methods. This retrospective study analyzed the medical charts of all children diagnosed with VUR at the Institute for Children and Youth Health Care of Vojvodina, in five years period. The analyzed data were: age, gender, grade, bilateral or unilateral presence of reflux, distribution to the sides of the body, urinary tract infections, associated anomalies and complications of VUR, treatment methods and the success rate of endoscopic correction with Deflux. Data processing was performed using the standard statistical methods. Results. The study included 167 patients (101 females and 66 males) with 231 refluxing ureters. The patients age at diagnosis was 1 month to 18 years (mean 4.6 years). Frequencies of different grades of VUR at initial investigation were: 17%, 27%, 22%, 21% and 13% for grades I to V, respectively. VUR was unilateral in 103 patients (left in 65 and right in 38), and bilateral in 64. Urinary tract infections were present in 78.4% of patients, reflux nephropathy in 38.3%, hypertension in 3.0%, chronic renal insufficiency in 4.8%, associated anomalies in 39.5% of patients. The treatment method was recorded in 154 cases. Medically were treated 80 patients, and surgically 74. Endoscopic injection of Deflux was carried out in 59 patients. From 79 ureters treated, five had grade I reflux, 11 grade II, 23 grade III, 27 grade IV, and 13 grade V. In 46 patients Deflux injection was carried out once. A second injection was required in eight, and third injection in five patients. Reflux was absent in 42 of the treated patients (71.2%) and 15 patients (25.4%) had a decreased grade of reflux after the treatment. Overall success rate was 96.6%. Conclusion. Endoscopic subureteral injection of Deflux is a minimally invasive method for VUR treatment in pediatric patients.

scholarly journals Aztreonam in the treatment of severe urinary tract infections in pediatric patients.

1986 ◽  
Vol 30 (2) ◽  
pp. 310-314 ◽  
Author(s):  
F Rusconi ◽  
B M Assael ◽  
A Boccazzi ◽  
R Colombo ◽  
R M Crossignani ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Pediatric Patients ◽  
Tract Infections

Extended Therapy with a Trimethoprim-Sulphonamide for the Treatment of Established Urinary Tract Infection

1971 ◽  
Vol 16 (12) ◽  
pp. 506-508 ◽  
Author(s):  
H. Gavras ◽  
D. H. Lawson ◽  
A. L. Linton
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Success Rate ◽  
Urinary Tract Infections ◽  
Allergic Reactions ◽  
Extended Treatment ◽  
Recurrent Urinary Tract Infections ◽  
Tract Infections

Thirty patients with recurrent urinary tract infections who had failed to respond to previous extended treatment with Sulphadimidine and/or Ampicillin were treated with a Trimethoprim-sulphamethoxazole combination ‘Septrin’. Twenty six per cent developed allergic reactions. In those who completed a 3-months' course there was a 59 per cent success rate in eradicating bacteriuria at a 6-months follow-up.

scholarly journals The role of voiding cystourethrography in the investigation of children with urinary tract infections

2016 ◽  
Vol 10 (5-6) ◽  
pp. 210 ◽  
Author(s):  
Linda C. Lee ◽  
Armando J. Lorenzo ◽  
Martin A. Koyle
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Urinary Tract Infections ◽  
Renal Scarring ◽  
High Rate ◽  
Voiding Cystourethrography ◽  
Low Grade ◽  
Endoscopic Injection ◽  
Febrile Uti ◽  
Tract Infections

Urinary tract infections (UTIs) represent a common bacterial cause of febrile illness in children. Of children presenting with a febrile UTI, 25‒40% are found to have vesicoureteral reflux (VUR). Historically, the concern regarding VUR was that it could lead to recurrent pyelonephritis, renal scarring, hypertension, and chronic kidney disease. As a result, many children underwent invasive surgical procedures to correct VUR. We now know that many cases of VUR are low-grade and have a high rate of spontaneous resolution. The roles of surveillance, antibiotic prophylaxis, endoscopic injection, and ureteral reimplantation surgery also continue to evolve. In turn, these factors have influenced the investigation of febrile UTIs.Voiding cystourethrography (VCUG) is the radiographic test of choice to diagnose VUR. Due to its invasive nature and questionable benefit in many cases, the American Academy of Pediatrics (AAP) no longer recommends VCUG routinely after an initial febrile UTI. Nevertheless, these guidelines pre-date the landmark Randomized Intervention of Children with Vesicoureteral Reflux (RIVUR) trial and there continues to be controversy regarding the diagnosis and management of VUR. This paper discusses the current literature regarding radiographic testing in children with febrile UTIs and presents a practical risk-based approach for deciding when to obtain a VCUG.

scholarly journals PEMASANGAN KATETER DENGAN KEJADIAN INFEKSI SALURAN KEMIH PADA PASIEN DI RUANG RAWAT INAP

2020 ◽  
Vol 3 (2) ◽  
pp. 23-30
Author(s):  
Tiarnida Nababan
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Respiratory Infections ◽  
Sampling Technique ◽  
Correlation Study ◽  
The Body ◽  
P Value ◽  
Aseptic Technique ◽  
Tract Infections ◽  
The Relationship

Urinary tract infection (UTI) is a result of the development of microorganisms in the urinary tract, which in normal conditions do not contain bacteria, viruses, or other microorganisms. Urinary tract infections are also infections that occupy the second position that most often attacks the body after respiratory infections. The objective of the study was to identify the relationship between catheter placement and the incidence of urinary tract infections at Royal Prima hospital Medan. This is a correlation study (correlation study) on the patients suffering from urinary tract infections. The sampling technique used was a saturated sampling technique. Analysis research data using the Spearmen test. Based on the results of the study, it was found that the majority of catheter installation was in the category of good were 78%, and in the category of not good 22%, and 78% suffered from do not experience urinary tract infections, and 22% infection urinary tract. The results of the study of the Spearmen test showed that p-value = 0.00. It was found that there was a relationship between catheter insertion and the incidence of urinary tract infections in the inpatient room. The local nurses are suggested to improve the aseptic technique of care performed when catheterization is performed so that the incidence of urinary tract infections due to catheter installation can be avoided.

Predictors of becoming overweight among pediatric patients at risk for urinary tract infections

2019 ◽  
Vol 15 (1) ◽  
pp. 61.e1-61.e6
Author(s):  
T.W. Gaither ◽  
C.S. Cooper ◽  
Z. Kornberg ◽  
L.S. Baskin ◽  
H.L. Copp
Keyword(s):  
At Risk ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Pediatric Patients ◽  
Patients At Risk ◽  
Tract Infections
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