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World Journal of Urology
Published in: World Journal of Urology 1/2012

01-02-2012 | Topic Paper

Advances in non-surgical treatments for urinary tract infections in children

Authors: Stephen Shei-Dei Yang, I-Ni Chiang, Chia-Da Lin, Shang-Jen Chang

Published in: World Journal of Urology | Issue 1/2012

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Abstract

Objective

With growing antibiotics failure due to emerging resistance of bacteria, non-surgical management of pediatric UTI plays a more important role because of its non-invasive characteristics and little adverse effects.

Methods

We searched the Pubmed for management of UTI in children other than surgical correction and antibiotics using terms: risk factor, prepuce/phimosis, steroid cream/steroid, behavioral therapy, urotherapy, biofeedback/pelvic floor exercise, adrenergic antagonist, anticholinergics, diet/dietary, dysfunctional voiding/dysfunctional elimination syndrome, constipation, dietary, clean intermittent catheterization, probiotics/lactobacillus, cranberry, vitamin supplement, breastfeeding, breast milk, with infant/child/children/pediatrics/pediatrics and urinary tract infection.

Results

The proposed non-surgical management of pediatric UTI included behavioral modification (timed voiding and adequate fluids intake), topical steroid for phimosis, nutrient supplements (breast milk, cranberry, probiotics, and vitamin A), biofeedback training for dysfunctional voiding, anticholinergics for reducing intravesical pressure, alpha-blockers in dysfunctional voiding and neurogenic bladder, and intermittent catheterization for children with large PVR.

Conclusion

The published reports usually included small number of patients and were lacking of randomization and controlled group. Further well-designed studies are warranted to support the concepts of non-operative management for pediatric UTI.
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Metadata
Title
Advances in non-surgical treatments for urinary tract infections in children
Authors
Stephen Shei-Dei Yang
I-Ni Chiang
Chia-Da Lin
Shang-Jen Chang
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 1/2012
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-011-0700-5

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