Sir—The much-needed trial by Dow et al. [1] regarding treatment duration for urinary tract infection (UTI) in patients with spinal cord injury and the accompanying editorial commentary [2] raise questions regarding the determination of whether isolates from recurrent (posttherapy) episodes of UTI represent relapse or reinfection and determination of the possible sources of such infections. Firs...

BACKGROUND Uropathogenic Escherichia coli (UPEC) is the most common agent of urinary tract infection (UTI). The classic model of pathogenesis proposes the ascent of UPEC by the urethra and external adherence to the urothelium. Recently, the ability of UPEC to invade urothelial cells and to form intracellular bacterial communities (IBCs) has been described. METHODS The objective of the present...

A 9-year-old girl with grade 4-5 right vesico-ureteric reflux (VUR) into a solitary collecting system was initially treated with endoscopic Deflux injection. Micturition cystourethrogram (MCUG) performed after 6 months showed a grade 1-2 reflux. After 3 years, MCUG repeated due to recurrent urinary tract infection (UTI), showed severe VUR. DMSA renal scan showed a non-functioning right kidney. ...

From October 1999 to July 2001, a prospective cohort study was conducted to assess the intestinal Escherichia coli population dynamics of 23 sexually active couples. We tested the hypothesis that intestinal persistence and predominance of specific E. coli strains, co-colonization of sex partners with the same E. coli strain, and the intestinal diversity of fecal E. coli, contribute to recurrent...

urinary tract infection (uti) is a common disease in childhood specially in female. in this study 50 patients with stablished diagnosis of uti were evaluated by both renal scan with tc-99m dmsa and renal sonography. the study revealed that most urinary tract infections are in children, female sex between 5-9 years of age. therefore the most important complications (renal scarring) are also comm...

INTRODUCTION In 1999, the American Academy of Pediatrics (AAP) recommended perform a renal ultrasonography and avoiding cystourethrography to all infants between 2 and 24 months of age after their first urinary tract infection (UTI). In 2011, the AAP restricted voiding cystourethrography to children with a pathological ultrasonography, recurrent and/ or atypical infections. Our objective was to...

tract infection (UTI) is a common bacterial infection of children, with a study published only 2 months ago showing the prevalence of UTI to be around 6% in preschool children presenting unwell to primary care. 1 Accurate and timely diagnosis is important in children because appropriate treatment may alleviate suffering and help prevent long-term sequelae such as renal scarring, poor renal grow...

OBJECTIVE To evaluate the frequency of recurrence of spontaneous bacterial peritonitis (SBP) in patients with end stage liver disease and the factors responsible for it. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY The Aga Khan University Hospital, Karachi, from November 2008 till November 2009. METHODOLOGY Patients with cirrhosis who were admitted at AKUH with diagnosis of...

Abstract Background An appropriate and evidence-based strategy for treating patients with recurrent urinary tract infection (rUTI) is to use low-dose antibiotics as prophylaxis. All used rUTI prophylaxis are associated problems of resistance adverse effects. Antimicrobial (AMR) refers a natural phenomenon in which micro-organisms become resistant that were originally effective killing them. The...

OBJECTIVES The present study, which is part of the ISRCTN16968287 clinical assay, is aimed at determining the effects of cranberry syrup or trimethoprim treatment for UTI. METHODS This Phase III randomised clinical trial was conducted at the San Cecilio Clinical Hospital (Granada, Spain) with a study population of 192 patients, aged between 1 month and 13 years. Criteria for inclusion were a ...