Management of paediatric recurrent urinary tract infections and challenges in special patient populations

Petcu, Clara T. and Stehr, Emma and Isaac, James P. and Desai, Devang (2021) Management of paediatric recurrent urinary tract infections and challenges in special patient populations. Australian Journal of General Practice, 50 (7). pp. 458-464. ISSN 2208-794X


Abstract

Background: Urinary tract infections (UTIs) affect up to 8.4% of girls and 1.7% of boys within their first six years of life. The rate of recurrence is as high as 30%, with the effects carrying long-term morbidity. Concomitant pathology such as vesicoureteric reflux (VUR) or bowel and bladder dysfunction (BBD) can pose further diagnostic and management challenges in the primary care setting. Objective: The aim of this article is to discuss the approach to diagnosis and management of recurrence and strategies to prevent it, with additional information regarding patients with VUR and BBD. Discussion: Management of recurrent UTIs requires family-centred care, with conservative, pharmacological and surgical options effective across different patient groups. In situations that exceed the capacity of local services, referral to paediatric subspecialties should be considered to assist in further investigation of recurrent cystitis-like symptoms.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing (1 Jan 2015 - 31 Dec 2021)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing (1 Jan 2015 - 31 Dec 2021)
Date Deposited: 03 Aug 2022 00:54
Last Modified: 04 Aug 2022 01:13
Uncontrolled Keywords: child; complication; female; human; male; urinary tract infection; vesicoureteral reflux
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics
Fields of Research (2020): 32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321399 Paediatrics not elsewhere classified
42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
Identification Number or DOI: doi:10.31128/AJGP-03-21-5922
URI: http://eprints.usq.edu.au/id/eprint/50644

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