Recurrent urinary tract infections in children: Preventive interventions other than prophylactic antibiotics

Prophylactic antibiotics for children with recurrent urinary tract infections.

Prophylactic antibiotics for urinary tract infections are no longer routinely recommended. A large number of children must be given prophylaxis to prevent one infection and antibiotic resistance is a major concern when treating community-acquired urinary tract infections. The results of three recent significant studies are examined, with focus on the efficacy of prophylaxis, and recommendations...

Ceftriaxone Potentiates Warfarin Activity Greater Than Other Antibiotics in the Treatment of Urinary Tract Infections.

BACKGROUND The cephalosporin class has been associated with an increased risk of bleeding among elderly patients receiving warfarin. Urinary tract infections (UTI) are the most prevalent infection in elderly patients. OBJECTIVE To determine the extent of interaction between antibiotics used in the treatment of UTI, particularly specific cephalosporins and warfarin. METHODS A retrospective c...

Recurrent urinary tract infections in children: risk factors and association with prophylactic antimicrobials.

CONTEXT The evidence regarding risk factors for recurrent urinary tract infection (UTI) and the risks and benefits of antimicrobial prophylaxis in children is scant. OBJECTIVES To identify risk factors for recurrent UTI in a pediatric primary care cohort, to determine the association between antimicrobial prophylaxis and recurrent UTI, and to identify the risk factors for resistance among rec...

Cystitis cystica and recurrent urinary tract infections in children.

The pathogenesis of recurrent urinary tract infections (UTIs) in preschool children with anatomically correct urinary tract (UT) is rather obscure. In girls, the bladder wall changes of cystitis cystica (CC) may be per se responsible for UTIs recurrence. During the 20-year period, 127 preschool children (125 girls; median age: 6.1 years) with CC, in whom UT anomalies were excluded, were diagnos...

urinary tract infections in children