Faculty Opinions recommendation of Management of urinary tract infection in a tertiary children's hospital before and after publication of the NICE guidelines.

2014 ◽  
Author(s):  
Craig Peters
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nice Guidelines ◽  
Children's Hospital ◽  
Before And After ◽  
Children’S Hospital

THE URINARY MANIFESTATIONS OF ANXIETY IN CHILD

PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 818-822
Author(s):  
Richard Galdston ◽  
Alan D. Perlmutter
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Medical Center ◽  
Children's Hospital ◽  
Hospital Medical ◽  
Intrapsychic Conflict ◽  
Children’S Hospital ◽  
Psychiatric Manifestations

This report comprises concurrent studies of the urologic and psychiatric manifestations of intrapsychic conflict among a group of children who had been admitted to the surgical wards of The Children's Hospital Medical Center, Boston, between 1965 to 1970 for complaints of disordered urination. Experience with these children indicates that anxiety can alter the frequency and disturb the adequacy of voiding to a degree sufficient to dispose the child to urinary tract infection. This effect of anxiety can occur both in the presence or absence of a demonstrable anatomic lesion. It suggests that an assessment of the degree and nature of the child's anxiety should be an integral part of the pediatric urologic examination.

Shigellosis in the First Week of Life

PEDIATRICS ◽  
1973 ◽  
Vol 52 (3) ◽  
pp. 437-438
Author(s):  
Leslie L. Barton ◽  
Larry K. Pickering
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Shigella Flexneri ◽  
Bloody Diarrhea ◽  
Third Trimester ◽  
Children's Hospital ◽  
Children’S Hospital

The diagnosis of shigellosis is only rarely considered in the infant whose diarrhea commences during the first week of life. Haltalin1 reported six cases and reviewed seven others that had appeared in the literature up until 1967. Three other cases have been reported.2-4 We would like to describe an additional infant with onset of diarrhea due to Shigella flexneri infection on her second day of life. Case Report Patient C.E. (SLCH #72-6528) was admitted to St. Louis Children's Hospital at 36 hours of age with fever and bloody diarrhea. The mother had a third trimester urinary tract infection treated with parenteral ampicillin. No diarrhea was noted during her pregnancy.

scholarly journals National Imaging and Antibiotic Practice Patterns in Children Presenting With Urinary Tract Infection to Community Practices: Little Impact From the American Academy of Pediatrics Guidelines?

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1302-1308
Author(s):  
Brian M. Inouye ◽  
Zachary R. Dionise ◽  
Ruiyang Jiang ◽  
Steven Wolf ◽  
Leigh Nicholl ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Diagnostic Imaging ◽  
American Academy ◽  
Odds Ratio ◽  
Practice Patterns ◽  
American Academy Of Pediatrics ◽  
Antibiotic Utilization ◽  
Before And After

Our objective was to use community-based, national databases to evaluate diagnostic imaging and antibiotic prophylaxis practice patterns before and after the release of the 2011 American Academy of Pediatrics guidelines for acute febrile urinary tract infection. Using the National Ambulatory and Hospital Ambulatory Medical Care Surveys, urinary tract infection encounters were identified for patients aged 2 months to 18 years. Primary outcomes were utilization of antibiotics (as proxy for prophylaxis) and diagnostic imaging during encounters. Weighted multivariate logistic regression models were used to examine the association between time period (before and after 2011) and each of the primary outcomes. Among 8 588 035 weighted encounters, adjusting for covariates, there was insufficient evidence to suggest a difference between time periods for antibiotic utilization (odds ratio = 0.66, P = .12) or diagnostic imaging (odds ratio = 1.16, P = .56). Thus, we did not find evidence of changes in antibiotic utilization or diagnostic imaging practice patterns after the release of the 2011 American Academy of Pediatrics guidelines.

URINARY TRACT INFECTION IN CHILDREN

PEDIATRICS ◽  
1969 ◽  
Vol 44 (5) ◽  
pp. 677-684
Author(s):  
Duncan E. Govan ◽  
John M. Palmer
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Hospital Admissions ◽  
Upper Urinary Tract ◽  
Cure Rate ◽  
Before And After ◽  
Tract Infections ◽  
Urethral Dilation

To study the influence of successful ureterovesicoplasty on incidence of recurrent urinary infection, two groups of infected children were compared in this regard before and after urologic evaluation. Of 280 new pediatric urologic hospital admissions, 55.6% had urinary tract infections. Sixty-six of these 156 infected children had vesicoureteral reflux. Bacteriologic localization of infection site was performed in both children with and without reflux at the time of diagnostic cystoscopy. Both groups were specifically treated with short-term antibiotic therapy and empiric urethral dilation. Operative vesicoureteroplasty was carried out in 62 children with reflux, with an overall cure rate of 83.8%. Distal urethral stenosis was not a contributing factor in this population nor did urethral caliber relate to the incidence of reflux. Only 3 of 35 children without reflux were found to have bacteriologically proved upper urinary tract infection. Similarly, only 32% of these children without reflux had clinical histories suggestive of recurrent pyelonephritis. In the children with reflux undergoing bacteriologic localization while infected, no nonrefluxing ureters were found infected, and only one third of the refluxing ureters so studied had proved upper urinary tract infection. Historical evidence for clinical pyelonephritis was present in 79% of the population with reflux; but, after successful cure of reflux, only 7% of these children continued to have pyelonephritic episodes. The long-term incidence of recurrent urinary tract infection was virtually identical, however, in the children undergoing successful antireflux surgery and the children without reflux following ureteral dilation. This relationship indicates that reflux plays little role in the etiology of bacteriunia but has a profound influence on urinary tract infection morbidity in children.

scholarly journals Surface analysis of ureteral stent before and after implantation in the bodies of child patients

Urolithiasis ◽  
2020 ◽  
Author(s):  
Katarzyna Arkusz ◽  
Kamila Pasik ◽  
Andrzej Halinski ◽  
Adam Halinski
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Tract Infection ◽  
Ureteral Stent ◽  
Ureteral Stents ◽  
Salt Deposition ◽  
Child Patients ◽  
Before And After ◽  
Dj Stent

Abstract The aim of this work was to determine which part of a double-J ureteral stent (DJ stents) showed the highest tendency to crystal, calculi, and biofilm deposition after ureterorenoscopic-lithotripsy procedure (URS-L) to treat calcium oxalate stones. Additionally, the mechanical strength and the stiffness of DJ stents were evaluated before and after exposure to urine. Obtained results indicated that the proximal (renal pelvis) and distal (urinary bladder) part is the most susceptible for post-URS-L fragments and urea salt deposition. Both, the outer and inner surfaces of the DJ ureteral stents were completely covered even after 7 days of implantation. Encrustation of DJ stents during a 31-day period results in reducing the Young’s modulus by 27–30%, which confirms the loss of DJ stent elasticity and increased probability of cracks or interruption. Performed analysis pointed to the need to use an antibacterial coating in the above-mentioned part of the ureteral stent to prolong its usage time and to prevent urinary tract infection.

Effect of Naturopathic modalities in the management of recurrent Urinary Tract Infection

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Monisha M S ◽  
P B Najuma ◽  
Sheela .
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Recurrent Urinary Tract Infection ◽  
Treatment Protocol ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Design Data ◽  
Recurrent Uti ◽  
Before And After

Now a days recurrent UTI is on common infection among the people, more common in women, particularly in child bearing age. The current research aims at providing a cost effective, long standing treatment protocol for the management of recurrent UTI and also for minimizing the recurrence of symptoms for a longer duration.. The objective of the study is to assess the effect of naturopathic modalities in the signs, symptoms and microscopical features of recurrent urinary tract infection. The study was a before and after Quasi – experimental or Non- randomized design. Data from an individual case sheet Proforma specifying demographical data, general history, clinical history related to urinary tract infection, physical examinations, laboratory investigation, data related with treatment and its response were collected. A consultation and examination was performed to grade the signs and symptoms. Grading was done before and after treatment. Routine blood investigation including erythrocyte sedimentation rate (ESR) and data related to presence of pus cells in urine were also collected. The naturopathic modalities including hot hip bath, abdominal hot compress, juice therapy and diet control is found to be therapeutically very effective in reducing the symptoms of urinary tract infection. Juice therapy used in the study has diuretic and anti-inflammatory properties and provide good results.

scholarly journals Results after implementation of a protocol on the incidence of urinary tract infection in an intensive care unit

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Anna Letícia Miranda ◽  
Ana Lúcia Lyrio de Oliveira ◽  
Daiana Terra Nacer ◽  
Cynthia Adalgisa Mesojedovas Aguiar
Keyword(s):  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Rank Order ◽  
Fisher Exact Test ◽  
Hospital Infection Control ◽  
Before And After

ABSTRACT Objective: to compare the results of urinary tract infection incidence, by means of the rate of indwelling urethral catheter use, and to identify microorganisms in urine cultures and surveillance cultures before and after the implementation of a clinical protocol for intensive care unit patients . Method: urinary tract infection is defined as a positive urine culture > 105 CFU/mL, notified by the hospital infection control service, six months before and after the implementation of the protocol. The sample consisted of 47 patients, 28 reported before and 19 after implementation. The protocol established in the institution is based on the Ministry of Health manual to prevent healthcare-related infections; the goal is patient safety and improving the quality of health services. Results: a negative linear correlation was observed between the later months of implementation and the reduction of reported cases of urinary tract infection, using the Spearman rank order coefficient (p = 0.045), and a reduction in the number of urine culture microorganisms (p = 0.026) using the Fisher exact test. Conclusion: educational interventions with implementation protocols in health institutions favor the standardization of maintenance of the invasive devices, which may reduce colonization and subsequent infections.

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