Nursing Care for Children with Genitourinary Dysfunction I
|
|
- Jane Underwood
- 5 years ago
- Views:
Transcription
1 Nursing Care for Children with Genitourinary Dysfunction I 1
2 Assessment of renal function Clinical manifestations Laboratory tests Urinalysis Urine culture and sensitivity Renal/bladder ultrasound Testicular ultrasound Voiding cystourethrography Radionuclide cystogram Radioisotope imaging studies Intravenous pyelography (IVP)(Intravenous urogram) Computed tomography Cystoscopy Retrograde pyelography Renal angiography Renal biopsy Urodynamics 2
3 Urine tests of renal function Test Normal range deviations Significance of deviations volume Specific gravity Age-related Newborn: ml Children: bladder capacity( oz)=age+2 With normal fluid intake: Newborn: Ohers: Clear pale yellow to deep gold Polyuria Oliguria Anuria High Low Dehydration Excessive fluid intake appearance Cloudy Cloudy reddish pink t o reddish brown Light Dark red Protein level absent present Abnormal glomerular permeability Glucose level absent present Diabetes mellitus glomerulonephritis Leukocyte esterase absent present Both lysed and intact WBCs via enzy me detection Nitrites absent present Most species of bacteria convert nitr ates to nitrites in the urine 3
4 Blood tests of renal function test Blood urea nitrogen(bun) Normal range(mg/dl) Newborn: 4-18 Infant, child: 5-18 deviations elevated Significance of deviations Renal disease Increased protein catabolism Dehydration Hemorrhage High protein intake Corticosteroid therapy Uric acid Child increased Severe renal disease creatinine Infant: Child: Adolescent: increased Severe renal impairment 4
5 Nursing considerations Preparing infants, children, and parents for tests and for collection of urine and blood specimens Maintaining of careful intake and output measurements and blood pressure 5
6 Genitourinary tract disorders Urinary tract infections Obstructive uropathy External defects 6
7 Urinary tract infection 10% of children during the first 2 years of life 7
8 Classification Bacterinuria Asymptomatic bacteriuria Symptomatic bacteriuria Recurrent UTI Persistent UTI Febrile UTI Cystitis Urethritis Pyelonephritis Urosepsis 8
9 Etiology Anatomic and physical factors Short urethra in females 2cm in young girls to 4cm in mature women Male: 20cm in adults + antibacterial properties of prostatic secretions Urinary stasis Reflux Anatomic abnormalities Dysfunction of the voiding mechanism Extrinsic ureteral or bladder compression by constipation Altered urine and bladder chemistry Fluid intake & diuresis: beneficial Bacteriostatic to E.coli at a ph of 5.0 9
10 Clinical manifestations of UTI Neonatal period Poor feeding Vomiting Failure to gain weight Frequent urination Dehydration Enlarged kidneys or bladder Infancy Foul-smelling urine Fever Persistent diaper rash Childhood Poor appetite Vomiting Growth failure Excessive thirst Enuresis, incontinence, frequent urination Painful urination Swelling of face Pallor Fatigue Abdominal or back pain Edema Hypertension tetany 10
11 Diagnostic evaluation Urine culture Suprapubic aspiration in children younger than 2 years of age Bladder catheterization Dipstick tests Leykocyte esterase or nitrite Percutaneous kidney taps Ultrasonography voiding cystourethrogram (VCUG) Intravenous pyelogram (IVP) DMSA (dimercaptosuccinic acid) scan 11
12 Objectives Therapeutic management To eliminate current infection To identify contributing factors to reduce the risk of recurrence To prevent systematic spread of the infection To preserve renal function 12
13 Antibiotic therapy Penicillins, sulfonamide (trimethoprim and sulfisoxazole in combination), cephalosporins, nitrofurantoin Surgical correction Careful follow-up High rate of recurrent infection To reduce the chance of renal scarring 13
14 Vesicoureteral reflux Most common cause of renal scarring in children Mild-moderate VUR Daily low-dose antibiotic therapy 2-3 months urine culture Annual voiding cystourethrogram
15 Vesicoureteral reflux Indications for surgical intervention Significant anatomic abnormality Recurrent UTIs Sever forms of VUR Noncompliance with medical therapy Intolerance to antibiotics VUR after puberty in females 15
16 Nursing considerations Careful history in infants and young children Voiding habits Stooling pattern Episodes of unexplained irritability Urine specimen collection Preparation for procedures according to pt s age and developmental status Explanation of the procedure, its purpose, and what the children will experience Anticipatory instruction on distraction techniques Antibacterial drug use Parent education for long-term use of nitrofurantoin Fluid intake 16
17 Prevention of urinary tract infection Factors predisposing to development Short female urethra close to vagina and anus Incomplete emptying (reflux) and overdistention of bladder Concentrated urine Measures of prevention Perineal hygiene: wipe from front to back Avoid tight clothing or diapers Check for vaginitis or pinworms Avoid holding urine; encourage child to void frequently Empty bladder completely with each void Avoid straining during defecation and avoid constipation Encourage generous fluid intake 17
Pediatric urinary tract infection. Dr. Nariman Fahmi Pediatrics/2013
Pediatric urinary tract infection Dr. Nariman Fahmi Pediatrics/2013 objectives EPIDEMIOLOGY CAUSATIVE PATHOGENS PATHOGENESIS CATEGORIES OF URINARY TRACT INFECTIONS AND CLINICAL MANIFESTATIONS IN pediatrics
More informationUTI are the most common genitourinary disease of childhood. The prevalence of UTI at all ages is girls and 1% of boys.
UTI are the most common genitourinary disease of childhood. The prevalence of UTI at all ages is girls and 1% of boys. 1-3% of Below 1 yr. male: female ratio is 4:1 especially among uncircumcised males,
More informationPediatric GU Dysfunction
Pediatric GU Dysfunction Assessment of pediatric renal function Signs and symptoms Laboratory tests Radiological tests Nursing considerations Psychosocial and developmental considerations GU Disorders
More informationUrinary tract infections, renal malformations and scarring
Urinary tract infections, renal malformations and scarring Yaacov Frishberg, MD Division of Pediatric Nephrology Shaare Zedek Medical Center Jerusalem, ISRAEL UTI - definitions UTI = growth of bacteria
More informationUrinary tract infection. Mohamed Ahmed Fouad Lecturer of pediatrics Jazan faculty of medicine
Urinary tract infection Mohamed Ahmed Fouad Lecturer of pediatrics Jazan faculty of medicine Objectives To differentiate between types of urinary tract infections To recognize the epidemiology of UTI in
More informationIt is an infection affecting any of the following parts like kidney,ureter,bladder or urethra
UTI Dr jayaprakash.k.p,asst prof,ich,govt.medical college,kottayam What is UTI? It is an infection affecting any of the following parts like kidney,ureter,bladder or urethra What is prevalence of UTI?
More informationNicolette Janzen, MD Texas Children's Hospital
Which UTIs Need a VCUG? Applying AAP Guidelines Nicolette Janzen, MD Texas Children's Hospital Goals 1 2 3 4 5 Review the guidelines Present clinical scenarios Discuss VCUG and nuclear cystogram Discuss
More informationUWE Bristol. UTI in Children. Angie Green Visiting Lecturer March 2011
UWE Bristol UTI in Children Angie Green Visiting Lecturer March 2011 Approx 2% children will develop acute febrile UTI Up to 10% girls will develop any kind of UTI Progressive scarring in children with
More informationUrinary Tract Infections in Children
Urinary Tract Infections in Children KIDNEY PEDIATRIC FOUNDATION Handbook for Parents Prepared by Aditi Sinha, R.N. Srivastava For Pediatric Kidney Foundation, and Division of Pediatric Nephrology, All
More informationThe McMaster at night Pediatric Curriculum
The McMaster at night Pediatric Curriculum Robinson, J, et al. and the Canadian Pediatric Society. Urinary tract infection in infants and children: Diagnosis and management. Pediatr Child Health 2014;
More informationMedical Management of childhood UTI and VUR. Dr Patrina HY Caldwell Paediatric Continence Education, CFA 15 th November 2013
Medical Management of childhood UTI and VUR Dr Patrina HY Caldwell Paediatric Continence Education, CFA 15 th November 2013 Terminology According to the current ICCS terminology guidelines Bladder and
More informationUTIs in children ( with controversies ) By Dr. Lindokuhle Mahlase
UTIs in children ( with controversies ) By Dr. Lindokuhle Mahlase Epidemiology By age 7 years, 8 % of girls and 2 % of boys will have had a UTI. Most infections occur in the first 2 years of life ; boys
More informationLower Urinary Tract Infection (UTI) in Males
Lower Urinary Tract Infection (UTI) in Males Clinical presentation For patients in care homes see UTI in adults where IV Antibiotics in the community may be appropriate (under development) History and
More informationChildren s Services Medical Guideline
See also: NICE Guidelines These local guidelines are in conjunction with NICE UTI Algorithms Renal scarring and subsequent nephropathy are important causes of later hypertension and renal failure. Early
More informationGiovanni Montini has documented that he has no relevant financial relationships to disclose or conflict of interest to resolve.
Giovanni Montini has documented that he has no relevant financial relationships to disclose or conflict of interest to resolve. Imaging in Pediatric UTI Giovanni Montini Milano, Italy giovanni.montini@unimi.it
More informationGuidelines for the management of urinary tract infections in children 0-17 years
Guidelines for the management of urinary tract infections in children 0-17 years Guideline to be used where appropriate in conjunction with the Ashford and St Peter s sepsis guideline (Dr Ruth Mew 2016)
More information10. Diagnostic imaging for UTI
10. Diagnostic imaging for UTI Key question: What is the most effective imaging test for the diagnosis of structural abnormalities of the urinary tract and/or kidney damage in children with UTI? Current
More informationOutpatient Management of Pediatric Urinary Tract Infection Clinical Practice Guideline MedStar Health
Outpatient Management of Pediatric Urinary Tract Infection Clinical Practice Guideline MedStar Health These guidelines are provided to assist physicians and other clinicians in making decisions regarding
More informationPYELONEPHRITIS. Wendy Glaberson 11/8/13
PYELONEPHRITIS Wendy Glaberson 11/8/13 A 19mo infant girl was seen in the ED 3 days ago and diagnosed with a UTI. She was afebrile at the time and discharged on broad spectrum antibiotics. The child returns
More informationURINARY TRACT INFECTIONS Mark Schuster, M.D., Ph.D.
- 351-20. URINARY TRACT INFECTIONS Mark Schuster, M.D., Ph.D. This review is based on textbooks of pediatrics (Roth and Gonzales in Oski et al., 1994), pediatric primary care ( ), and pediatric infectious
More informationClinical guideline Published: 22 August 2007 nice.org.uk/guidance/cg54
Urinary tract infection in under 16s: diagnosis and management Clinical guideline Published: 22 August 2007 nice.org.uk/guidance/cg54 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationUrinary Tract Infections (UTI)
LESSON ON THE THEME: Urinary Tract Infections (UTI) DEPARTMENT OF PEDIATRICS Elaborated by associate professor Angela Ciuntu Definition a significant bacteriuria (exceeding 105 bacteria per ml urine) in
More informationPediatric Urinary Tract Infections
Pediatric Urinary Tract Infections Sarmistha B. Hauger M.D. Pediatric Infectious Diseases Specially For Children Dell Children s Medical Center of Central Texas CME Conference 5/08 Pediatric UTI Epidemiology
More informationEMPIRICAL TREATMENT OF SELECT INFECTIONS ADULT GUIDELINES. Refer to VIHA Algorithm for the empiric treatment of Urinary Tract Infection
URINARY TRACT Refer to VIHA Algorithm for the empiric treatment of Urinary Tract Infection and Asymptomatic Bacteriuria on the VIHA Intranet: https://intranet.viha.ca/departments/pharmacy/clinical_pharmacy/pages/infec
More informationUrinary Tract Infections in Children
Urinary Tract Infections in Children Eric Balighian, MD,* Michael Burke, MD* *St Agnes Hospital, Baltimore, MD Educational Gaps Consideration of risk factors for urinary tract infections (UTIs) in young
More informationSHABNAM TEHRANI M.D., MPH ASSISTANT PROFESSOR OF INFECTIOUS DISEASESE &TROPICAL MEDICINE RESEARCH CENTER, SHAHID BEHESHTI UNIVERSITY OF MEDICAL
URINARY TRACT INFECTION SHABNAM TEHRANI M.D., MPH ASSISTANT PROFESSOR OF INFECTIOUS DISEASESE &TROPICAL MEDICINE RESEARCH CENTER, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES Definition inflammatory
More informationBacterial Infections of the Urinary System *
OpenStax-CNX module: m64804 1 Bacterial Infections of the Urinary System * Douglas Risser This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 4.0 1 Learning
More informationURINARY TRACT INFECTIONS
URINARY TRACT INFECTIONS Learning Objectives Identify signs and symptoms that may indicate presence of UTI (both complicated and uncomplicated) List common causative organisms and risk factors for UTIs
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Nephrology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Nephrology 1. GOAL: Understand the general pediatrician's role in diagnosis and management of hypertension in children.
More informationPaediatrica Indonesiana. Urine dipstick test for diagnosing urinary tract infection
Paediatrica Indonesiana VOLUME 53 November NUMBER 6 Original Article Urine dipstick test for diagnosing urinary tract infection Syarifah Julinawati, Oke Rina, Rosmayanti, Rafita Ramayati, Rusdidjas Abstract
More informationUTI Update: Have We Been Led Astray? Disclosure. Objectives
UTI Update: Have We Been Led Astray? KAAP Sept 28, 2012 Robert Wittler, MD 1 Disclosure Neither I nor any member of my immediate family has a financial relationship or interest with any entity related
More information16.1 Risk of UTI recurrence in children
16. UTI prognosis 16.1 Risk of UTI recurrence in children Key question: What is the risk of recurrent UTI in children with no known structural or functional abnormalities of the urinary tract with a first
More informationDiagnostic approach and microorganism resistance pattern in UTI Yeva Rosana, Anis Karuniawati, Yulia Rosa, Budiman Bela
Diagnostic approach and microorganism resistance pattern in UTI Yeva Rosana, Anis Karuniawati, Yulia Rosa, Budiman Bela Microbiology Department Medical Faculty, University of Indonesia Urinary Tract Infection
More informationIndex. urologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acinetobacter baumannii, carbapenem-resistant, 497 498 Adolescents, urinary tract infections in, 520 521 Aminoglycosides, for UTIs and
More informationAnnex 3. Patient information. Urinary Tract Infection in Children
Annex 3. Patient information. Urinary Tract Infection in Children Contents Introduction What is urinary tract infection (UTI) and how common is it? What are the signs and symptoms for suspecting UTI? How
More informationClinical and laboratory indices of severe renal lesions in children with febrile urinary tract infection
Clinical and laboratory indices of severe renal lesions in children with febrile urinary tract infection Constantinos J. Stefanidis Head of Pediatric Nephrology P. & A. Kyriakou Children s Hospital, Athens,
More informationInformation for Patients
Information for Patients Congenital Malformation in the Urinary Tract: Ureteral Duplication, Ureterocele, and Ectopic Ureter English Table of contents Ureteral Duplication... 3 Symptoms and Diagnosis...
More informationWhy is the management of UTI so controversial? Kjell Tullus Consultant Paediatric Nephrologist
Why is the management of UTI so controversial? Kjell Tullus Consultant Paediatric Nephrologist Diagnosing a UTI More difficult then most people realise Contaminating culture Bacterial numbers Confusion
More informationAnatomy kidney ureters bladder urethra upper lower
Urinary tract Anatomy The urinary tract consists of the kidney, ureters, bladder, and urethra. Urinary tract infections can be either: upper or lower based primarily on the anatomic location of the infection.
More informationA&P of the Urinary System
A&P of the Urinary System Week 44 1 Objectives Identify the organs of the urinary system, from a Identify the parts of the nephron (the functional unit List the characteristics of a normal urine specimen.
More informationVesicoureteral Reflux
What is the normal urinary tract? The kidneys filter the blood and extract waste products from the blood to make urine. Urine passes from the kidneys, down the ureters, and into the bladder for storage
More informationM E D I C A L T E R M I N O L O G Y
URINARY SYSTEM M E D I C A L T E R M I N O L O G Y Is the organ system which produces, stores and eliminates waste. Is responsible for waste excretion in the form of urine Fluid Intake Is necessary in
More informationUTI IN ELDERLY. Zeinab Naderpour
UTI IN ELDERLY Zeinab Naderpour Urinary tract infection (UTI) is the most frequent bacterial infection in elderly populations. While urinary infection in the elderly person is usually asymptomatic, symptomatic
More informationAn update on the management of urinary tract infection. Citation Hong Kong Practitioner, 1997, v. 19 n. 3, p
Title An update on the management of urinary tract infection Author(s) Chan, TM Citation Hong Kong Practitioner, 1997, v. 19 n. 3, p. 137-141 Issued Date 1997 URL http://hdl.handle.net/10722/45038 Rights
More informationURINARY TRACT INFECTIONS 3 rd Y Med Students. Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan
URINARY TRACT INFECTIONS 3 rd Y Med Students Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan Urinary Tract Infections-1 Normal urine is sterile in urinary bladder.. It contains fluids,
More informationDiagnosis and Management of UTI s in Care Home Settings. To Dip or Not to Dip?
Diagnosis and Management of UTI s in Care Home Settings To Dip or Not to Dip? 1 Key Summary Points: Treat the patient NOT the urine In people 65 years, asymptomatic bacteriuria is common. Treating does
More informationRole of Imaging Modalities in the Management of Urinary Tract Infection in Children
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2018/182 Role of Imaging Modalities in the Management of Urinary Tract Infection in Children M S Vinodkumar 1, M Vishnu
More informationURINARY TRACT INFECTIONS 3 rd Y Med Students. Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan
URINARY TRACT INFECTIONS 3 rd Y Med Students Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan Urinary Tract Infections-1 Normal urine is sterile.. It contains fluids, salts, and waste products,
More informationUTI and VUR practical points and management
UTI and VUR practical points and management Søren Rittig, Prof., DMSc Child and Adolescent Medicine, Aarhus University Hospital Aarhus, Denmark Outline Definition and diagnosis of UTI Treatment of UTI
More informationChapter 47 1/8/2018. Urinary System Disorders. Urinary Tract Infections. Treatment
Chapter 47 Urinary System Disorders Urinary Tract Infections Urinary tract infections (UTIs) are common Infection in one area can involve the entire system Microbes enter through the urethra. Catheterization,
More informationIndications and effectiveness of the open surgery in vesicoureteral reflux
Indications and effectiveness of the open surgery in vesicoureteral reflux Suzi DEMIRBAG, MD Department of Pediatric Surgery, Gulhane Military Medical Academy, Ankara, TURKEY Vesicoureteral reflux (VUR)
More informationHMM 4401 Genito-urinary tract diseases
HMM 4401 Genito-urinary tract diseases Urine production Core elements: Glomerulus, proximal and distal convoluted tube, loop of Henle, collecting tubules, ureters, bladder, sphincter, uretra, and out
More informationUrinary System. Dr. Thorson
Urinary System Dr. Thorson Lesson Objectives Upon completion of this lesson, students should be able to Define and spell the terms to learn for this chapter. Describe the purpose and function of the urinary
More informationScott Williams, MD Pediatric Nephrology OLOL Children s Hospital September 29, Controversies in Urinary Tract Infections
Scott Williams, MD Pediatric Nephrology OLOL Children s Hospital September 29, 2013 Controversies in Urinary Tract Infections Disclaimer I have no affiliations with any pharmaceutical or equipment company
More informationUrinary tract infections Dr. Hala Al Daghistani
Urinary tract infections Dr. Hala Al Daghistani UTIs are considered to be one of the most common bacterial infections. Diagnosis depends on the symptoms, urinalysis, and urine culture. UTIs occur more
More informationCustomary urine test is the dip stick and the mid-stream culture of voided urine. Up to 77% of cystitis cases are cultured
9 million visits/year! Customary urine test is the dip stick and the mid-stream culture of voided urine. Up to 77% of cystitis cases are cultured Interpretation of the culture result has been controversial-
More informationCortical renal scan in febrile UTI: Established usefulness and future developments
Cortical renal scan in febrile UTI: Established usefulness and future developments Diego De Palma, MD Nuclear Medicine, Circolo Hospital, Varese, Italy UTI is common in the pediatric population! Girls
More informationUrinary Tract Infections
Urinary Tract Infections Introduction A urinary tract infection, or UTI, is an infection of the urinary tract. Infections are caused by microbes, including bacteria, fungi and viruses. Microbes are organisms
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,900 116,000 120M Open access books available International authors and editors Downloads Our
More informationLong-Term Clinical Follow up of Children with Primary Vesicoureteric Reflux. C.K. Abeysekara, B.M.C.D. Yasaratna and A.S.
Brief Reports Long-Term Clinical Follow up of Children with Primary Vesicoureteric Reflux C.K. Abeysekara, B.M.C.D. Yasaratna and A.S.Abeyagunawardena From the Department of Pediatrics, Faculty of Medicine,
More informationLecture 1: Genito-urinary system. ISK
Urinary Tract Infections Lecture 1: Genito-urinary system. ISK 07 08 2009. Getting Clear on the Terminology UTI Cystitis Urosepsis Asymptomatic Bacteriuria Asymptomatic UTI Pyuria Symptomatic UTI Pylonephritis
More informationUrinary Tract Infection (UTI)
Urinary Tract Infection (UTI) WINSTON HELEN Author: Paediatric Department Document Number: STHK0875 Version: 5 Review date: June 2020 Notes Page 1 Nature and Reasons for Condition Urinary tract infections
More informationThe relationship between urinary tract infection and calcium excretion in children
The Turkish Journal of Pediatrics 2012; 54: 387-392 Original The relationship between urinary tract infection and calcium excretion in children Ayça Altıncık 1, Ferah Sönmez 2, Nevin Semerci 2, Çiğdem
More informationPediatric Office Urology. By Anas Hindawi BAU & MGH urology resident Supervised by Dr. khaled Al Sayed 17/09/2015
Pediatric Office Urology By Anas Hindawi BAU & MGH urology resident Supervised by Dr. khaled Al Sayed 17/09/2015 CRYPTORCHIDISM UNDESCENDED TESTIS One of the most common congenital anomalies, occurring
More informationAlterations of Renal and Urinary Tract Function
Alterations of Renal and Urinary Tract Function Chapter 29 Urinary Tract Obstruction Urinary tract obstruction is an interference with the flow of urine at any site along the urinary tract The obstruction
More informationCLINICAL PRACTICE GUIDELINE FROM THE AMERICAN ACADEMY OF PEDIATRICS
FROM THE AMERICAN ACADEMY OF PEDIATRICS CLINICAL PRACTICE GUIDELINE Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children
More informationPrevalence of recurrent urinary tract infection in children with congenital anomalies of the kidney and urinary tract (CAKUT)
IOP Conference Series: Earth and Environmental Science PAPER OPEN ACCESS Prevalence of recurrent urinary tract infection in children with congenital anomalies of the kidney and urinary tract (CAKUT) To
More informationRecurrent Pediatric UTI Revisited 2013
Recurrent Pediatric UTI Revisited 2013 PIDSP 21.2.2013 Shai Ashkenazi, MD, MSc Medicine changes constantly Some aspects of the standard practice of ~40 years are probably not valid and need to be changed
More informationRadiological abnormalities and complications of urinary tract infection among urine culture positive children
Original article: Radiological abnormalities and complications of urinary tract infection among urine culture positive children Dr Shradha Salunkhe, Dr Suhas Sodal, Dr Ashrita Jonnalagadda, Dr Sharad Agarkhedkar
More informationUrinary Tract Infections in Children: What We Know and What We Don t
Urinary Tract Infections in Children: What We Know and What We Don t Daniel Hirselj, MD Northwest Urology, LLC North Pacific Pediatric Society Conference April 29, 2017 Urinary Tract Infections in Children:
More information11/15/2010. Asymptomatic Bacteriuria UTI. Symptomatic UTI. Asymptomatic UTI. Cystitis. Pylonephritis. Pyuria. Urosepsis
Urinary Tract Infections Renal vein Inferior vena cava Urinary bladder Urethra Renal artery Kidney Aorta Ureter Lecture 1: Genito-urinary system. 06 08 2010. (a) Sherwood Fig. 12-6a, p.530 An introduction
More informationUTI and VUR Practical points and management Kjell Tullus Consultant Paediatric Nephrologist
UTI and VUR Practical points and management Kjell Tullus Consultant Paediatric Nephrologist Discussion points Diagnosis VUR Radiological investigations 1. Contamination Problems 2. Bacterial numbers 3.
More informationIs antibiotic prophylaxis of any use in nephro-urology? Giovanni Montini Pediatric Nephrology and Dialysis Unit University of Milan Italy
Is antibiotic prophylaxis of any use in nephro-urology? Giovanni Montini Pediatric Nephrology and Dialysis Unit University of Milan Italy UTI_VUR Bacteria and Humans: diverse behaviours!! Bacteria Humans
More information15. Prevention of UTI and lifestyle modifications
15. Prevention of UTI and lifestyle modifications Key questions: Does improving poor voiding habits help prevent UTI recurrence? Does improving constipation help prevent UTI recurrence? Does increasing
More informationBowel and Bladder Dysfunction (BBD) Naida Kalloo, MD Pediatric Urology Children s National
Bowel and Bladder Dysfunction (BBD) Naida Kalloo, MD Pediatric Urology Children s National What is Bowel and Bladder Dysfunction? Lower urinary tract symptoms (LUTS) and bowel movement disorders Majority
More informationSurveillance report Published: 7 July 2016 nice.org.uk. NICE All rights reserved.
Surveillance report 2016 Urinary tract infection in under 16s: diagnosis and management (2007) NICE guideline CG54 Surveillance report Published: 7 July 2016 nice.org.uk NICE 2016. All rights reserved.
More informationHydronephrosis. What is hydronephrosis?
What is hydronephrosis? Hydronephrosis Hydronephrosis describes the situation where the urine collecting system of the kidney is dilated. This may be a normal variant or it may be due to an underlying
More informationLecture 7. The Urinary System
Lecture 7 The Urinary System Copyright 2006 Thomson Delmar Learning The Urinary System The urinary system removes wastes from the body The urinary system also maintains homeostasis or a constant internal
More informationUrinary tract infection - adults
1 of 9 12/30/2012 11:07 PM PubMed Health. A service of the National Library of Medicine, National Institutes of Health. A.D.A.M. Medical Encyclopedia. Atlanta (GA): A.D.A.M.; 2011. Urinary tract infection
More informationUrologic investigations
Urologic investigations د. Laboratory studies EXAMINATION OF URINE Urinalysis: Urinalysis is one of the most important and useful urologic tests available. Reasons for inadequate urinalyses include: (1)
More informationClinical profile and socioeconomic demography in children with urinary tract infection
Original article: Clinical profile and socioeconomic demography in children with urinary tract infection Dr Shradha Salunkhe, Dr Renuka Jadhav, Dr Sharad Agarkhedkar Department of Paediatrics, Dr. D. Y.
More informationUrinary Tract Infections KIDNEY INFECTIONS. Dr. AMMAR FADIL
Urinary Tract Infections KIDNEY INFECTIONS Dr. AMMAR FADIL General principles Urinary tract infections (UTIs) is inflammatory response of the urothelium to bacterial invasion. are common affect men and
More informationHydronephrosis. Nephrosis. Refers to the kidney
What is hydronephrosis? Hydro Nephrosis Refers to water or fluid Refers to the kidney A build-up of fluid (urine) in the kidney is the medical term for a build-up of urine in the kidney. As the urine builds
More informationVesicoureteral Reflux: The Difficulty of Consensus OR Why Can t We All Just get Along?
Vesicoureteral Reflux: The Difficulty of Consensus OR Why Can t We All Just get Along? J Brandt MD MPH Pediatric Nephrology, UNMSOM Family Practice Grand Rounds 2/14/2012 Why do we worry about VUR? 3
More informationCan Procalcitonin Reduce Unnecessary Voiding Cystoureterography in Children with First Febrile Urinary Tract Infection?
Original Article Iran J Pediatr Aug 2014; Vol 24 (No 4), Pp: 418-422 Can Procalcitonin Reduce Unnecessary Voiding Cystoureterography in Children with First Febrile Urinary Tract Infection? Aliasghar Halimi-asl,
More informationVesicoureteral Reflux (VUR) New
Vesicoureteral Reflux (VUR) New What is vesicoureteral reflux? Vesicoureteral reflux is the abnormal backflow of urine from the bladder into the ureter and up to the kidney. The majority of the time this
More informationIntrarenal reflux and the scarred kidney
Archives of Disease in Childhood, 1974, 49, 531. Intrarenal reflux and the scarred kidney G. L. ROLLESTON, T. M. J. MALING, and C. J. HODSON* From the Department of Radiology, Christchurch Hospital and
More informationadvice on prevention
Women & Children s Directorate Urinary Tract Infection advice on prevention information for children and their families 2 Urinary tract infection (UTI for short) is one of the commonest bacterial diseases
More informationVesicoureteral reflux and reflux nephropathy
Vesicoureteral reflux and reflux nephropathy This infokid topic is for parents and carers about children s kidney conditions. Visit www.infokid.org.uk to find more topics about conditions, tests & diagnosis,
More informationLec-8 جراحة بولية د.نعمان
4th stage Lec-8 جراحة بولية د.نعمان 11/10/2015 بسم هللا الرحمن الرحيم Ureteric, Vesical, & urethral stones Ureteric Calculus Epidemiology like renal stones Etiology like renal stones Risk factors like
More informationMODULE 5: HEMATURIA LEARNING OBJECTIVES DEFINITION. KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer
MODULE 5: HEMATURIA KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer LEARNING OBJECTIVES At the end of this clerkship, the learner will be able to: 1. Define microscopic hematuria.
More informationA Guide for Parents. Caring for Children With Primary Vesicoureteral Reflux. Information to discuss with your child s doctor
The American Urological Association Pediatric Vesicoureteral Reflux Guidelines Panel Caring for Children With Primary Vesicoureteral Reflux A Guide for Parents Information to discuss with your child s
More informationPrescribing Guidelines for Urinary Tract Infections
Prescribing Guidelines for Urinary Tract Infections Urinary Tract Infections in Children Urinary tract infections (UTIs) are common infections of childhood that may affect any part of the urinary tract,
More informationRECURRENT URINARY TRACT INFECTIONS: WHAT AN INTERNIST
RECURRENT URINARY TRACT INFECTIONS: WHAT AN INTERNIST MUST KNOW PROF. MD. ENAMUL KARIM Professor of Medicine Green Life Medical College INTRODUCTION Urinary tract infection (UTI) is one of the commonest
More informationUrinary Tract Infections in Infants & Toddlers: An Evidence-based Approach. No disclosures. Importance of Topic 5/14/11. Biases
Urinary Tract Infections in Infants & Toddlers: An Evidence-based Approach Thomas B. Newman, MD, MPH Professor of Epidemiology & Biostatistics and Pediatrics University of California, San Francisco May
More informationCLINICAL CHARACTERISTICS AND ANTIBIOTIC RESISTANCE PATTERN OF PATHOGENS IN PEDIATRIC URINARY TRACT INFECTION
CLINICAL CHARACTERISTICS AND ANTIBIOTIC RESISTANCE PATTERN OF PATHOGENS IN PEDIATRIC URINARY TRACT INFECTION Yupaporn Amornchaicharoensuk Faculty of Medicine, Navamindradhiraj University, Bangkok, Thailand
More information