Epidemiology of enuresis: a large number of children at risk of low regard

Abstract

Aim To describe the epidemiological aspects of nocturnal enuresis (NE). In this study we identify the prevalence and the familial conditions in a large, representative sample of children with monosymptomatic NE (MNE) and nonmonosyptomatic NE (NMNE). Material and methods In this descriptive-analytic study the Italian Society of Pediatrics (SIP) promoted a prevalence study of NE using a questionnaire involved 320 primary care Pediatricians from Northern, Central and Southern Italy, from January 2019 to July 2019, with a total of 130,000 children analyzed by questionnaire related to epidemiology and type of NE, familiarity, quality of sleep, eating and drinking habits, pharmacological and psychological/behavioural interventions and family involvement. Results 270/320 (84.4%) Paediatrician replied to our questionnaire. We enrolled a total of 9307/130,000 (7.2%) children with NE, aged between 5 and 14 years: 2141 diagnosed with MNE and 7176 qualified as NMNE. Poor quality of sleep were reported in 7064 patients; 90% of children did not consider a dietary and drinking recommendation. Pediatrician reported a total of 54.1% of parents who declared to have a negative reaction to their children because of the bedwetting. A percentage of 71.4% of parents declared to use or to have used alternative therapies and not to prefer, at first, a pharmacological intervention. Conclusion The choice of treatment should include psychological/behavioural interventions in all cases to improve the therapeutic outcome. All primary care Pediatricians should be aware of the all aspects of NE to choose the best way to treat every patient.

Association of Nocturnal Enuresis and history of Breastffeeding in primary school children in Hilla city

“…In contrast to other studies in Egypt and Iraq showed diurnal enuresis was higher frequency (17,22). In this study the history of adequacy of sleep it found a higher frequency of irregular sleep (64%) 128 of enuretic children which is in agreement with Ferrara et al (24) which also showed a high rates of poor quality of sleep among enuretic children .…”

A Cross Sectional Survey to Know the Prevalence of Nocturnal Enuresis and Associated Comorbidities in Children Aged 5 to 18 Years

“…Singh& Seth has stated that many parents wait for spontaneous resolution which is true, but it can't be predicted.9The prevalence of NE in this survey was 12.24 % slightly higher than 10% quoted by some researchers.9,11,12 Majority of the study population in present research were suffering from MNE an observation in concordance with Reddy et al who reported a prevalence of 80% of MNE. The prevalence of NMNE in present study was 16.9% ,much lower 77% reported by Ferrera et al 13 & 30% reported by Singh & Seth.9 The diagnosis of NMNE could be given only after thorough history and examination & ruling out common comorbidities by appropriate investigations which could be done in present research in only those 92(30%) children who were brought to the hospital by their parents .These were mostly older than 12 years, girls and only a few(52,16.9%) had NMNE.…”

“…The parental attitude of punishment in present study was high and found in 91% (280) families than in 54.1% as reported by Ferrera et al 13 This can be explained by difference in socio economic difference in study population. Many related articles stressed upon the negative impact of intolerant, punitive parental attitude towards this condition.17,18…”

Limited caffeine consumption as first-line treatment in managing primary monosymptomatic enuresis in children: how effective is it? A randomised clinical trial

“…A descriptive-analytical study in Italy demonstrated that more than 90% of children did not advise dietary and other simple behavioural recommendations. 14 Our present study determined that caffeine limitation effectively treats PMNE with NNT 7.417.…”