Urinary Tract Infections and Vesicoureteral Reflux
Autor: | Peter Zhan Tao Wang, Orchid Djahangirian, Elias Wehbi |
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Rok vydání: | 2024 |
Předmět: |
medicine.medical_specialty
Voiding cystourethrogram medicine.diagnostic_test business.industry Urinary system Gold standard Urology bacterial infections and mycoses urologic and male genital diseases Individual risk medicine.disease Vesicoureteral reflux female genital diseases and pregnancy complications Sepsis 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine 030212 general & internal medicine Presentation (obstetrics) Urine sample business |
Zdroj: | Avery's Diseases of the Newborn ISBN: 9780323828239 Avery's Diseases of the Newborn ISBN: 9780323401395 |
DOI: | 10.1016/b978-0-323-82823-9.00080-5 |
Popis: | • The presentation of urinary tract infections (UTIs) in neonates differs from that seen in older children. • The type and route of infection also differ in neonates, when compared with older children. • An appropriate urine sample for diagnosis is needed, but treatment should not be delayed. • A neonate in whom a UTI is suspected should be evaluated for sepsis, including invasive cultures. • After a documented neonatal UTI, a radiologic work-up is warranted to detect anatomic anomalies. • Vesicoureteral reflux (VUR) is diagnosed in 30%–50% of neonates with proven UTI. • Voiding cystourethrogram is the gold standard for the diagnosis of VUR and should be performed on high-risk neonates. • Treatment of VUR should be tailored to each patient's individual risk of UTI recurrence, with the goals of preventing future UTIs and renal scar formation. |
Databáze: | OpenAIRE |
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