Management of paediatric recurrent urinary tract infections and challenges in special patient populations

Article


Petcu, Clara T., Stehr, Emma, Isaac, James P. and Desai, Devang. 2021. "Management of paediatric recurrent urinary tract infections and challenges in special patient populations." Australian Journal of General Practice. 50 (7), pp. 458-464. https://doi.org/10.31128/AJGP-03-21-5922
Article Title

Management of paediatric recurrent urinary tract infections and challenges in special patient populations

ERA Journal ID13428
Article CategoryArticle
AuthorsPetcu, Clara T. (Author), Stehr, Emma (Author), Isaac, James P. (Author) and Desai, Devang (Author)
Journal TitleAustralian Journal of General Practice
Australian Family Physician
Journal Citation50 (7), pp. 458-464
Number of Pages7
Year2021
Place of PublicationAustralia
ISSN0300-8495
Digital Object Identifier (DOI)https://doi.org/10.31128/AJGP-03-21-5922
Web Address (URL)https://www1.racgp.org.au/ajgp/2021/july/paediatric-recurrent-urinary-tract-infections-and
Abstract

Background: Urinary tract infections (UTIs) affect up to 8.4% of girls and 1.7% of boys within their first six years of life. The rate of recurrence is as high as 30%, with the effects carrying long-term morbidity. Concomitant pathology such as vesicoureteric reflux (VUR) or bowel and bladder dysfunction (BBD) can pose further diagnostic and management challenges in the primary care setting. Objective: The aim of this article is to discuss the approach to diagnosis and management of recurrence and strategies to prevent it, with additional information regarding patients with VUR and BBD. Discussion: Management of recurrent UTIs requires family-centred care, with conservative, pharmacological and surgical options effective across different patient groups. In situations that exceed the capacity of local services, referral to paediatric subspecialties should be considered to assist in further investigation of recurrent cystitis-like symptoms.

Keywordschild; complication; female; human; male; urinary tract infection; vesicoureteral reflux
ANZSRC Field of Research 2020321399. Paediatrics not elsewhere classified
429999. Other health sciences not elsewhere classified
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Institution of OriginUniversity of Southern Queensland
Byline AffiliationsDepartment of Health, Queensland
University of Notre Dame Australia
University of Southern Queensland
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