Family History and Behavioral Abnormalities in Girls With Recurrent Urinary Tract Infections: A Controlled Study

Stauffer, Christine M.; Weg, Boudewijn van der; Donadini, Rebecca; Ramelli, Gian Paolo; Marchand, Sabine; Bianchetti, Mario G.

doi:10.1097/01.ju.0000117701.81118.f0

Cited by 46 publications

(27 citation statements)

References 12 publications

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“…In two recent descriptive studies, poor fluid intake or low urine output were host-mediated predisposing factors (category III evidence) [35,36]. In two comparative studies, poor fluid intake was much more frequent in females with urinary tract infection than in controls (53% vs. 16%; 50% vs. 9.5%) (category III evidence) [37,38]. Two years after implementing health education and seasonal on-the-job training in 366 qualified female workers, the number of water intakes and urine voids increased and the prevalence of urinary tract infection decreased from 9.8% to 1.6% (category IIb evidence) [39].…”

Section: Urinary Tract Infectionmentioning

confidence: 94%

Hydration and Disease

Manz

2007

Journal of the American College of Nutrition

102

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Many diseases have multifactorial origins. There is increasing evidence that mild dehydration plays a role in the development of various morbidities. In this review, effects of hydration status on acute and chronic diseases are depicted (excluding the acute effects of mild dehydration on exercise performance, wellness, cognitive function, and mental performance) and categorized according to four categories of evidence (I-IV). Avoidance of a high fluid intake as a precautionary measure may be indicated in patients with cardiovascular disorders, pronounced chronic renal failure (III), hypoalbuminemia, endocrinopathies, or in tumor patients with cisplatin therapy (IIb) and menace of water intoxication. Acute systemic mild hypohydration or dehydration may be a pathogenic factor in oligohydramnios (IIa), prolonged labor (IIa), cystic fibrosis (III), hypertonic dehydration (III), and renal toxicity of xenobiotica (Ib). Maintaining good hydration status has been shown to positively affect urolithiasis (Ib) and may be beneficial in treating urinary tract infection (IIb), constipation (III), hypertension (III), venous thromboembolism (III), fatal coronary heart disease (III), stroke (III), dental disease (IV), hyperosmolar hyperglycemic diabetic ketoacidosis (IIb), gallstone disease (III), mitral valve prolapse (IIb), and glaucoma (III). Local mild hypohydration or dehydration may play a critical role in the pathogenesis of several broncho-pulmonary disorders like exercise asthma (IIb) or cystic fibrosis (Ib). In bladder and colon cancers, the evidence on hydration status' effects is inconsistent.

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Section: Urinary Tract Infectionmentioning

confidence: 94%

Hydration and Disease

Manz

2007

Journal of the American College of Nutrition

102

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“…Primary vesicoureteral reflux (VUR) is the most well-known risk factor for recurrent UTI and renal scarring, and current preventive strategies have been focused mainly on children with VUR [1,2]. Nevertheless, UTI frequently develops and recurs even in children with normal urinary tracts (UTs) [3]. Female gender and dysfunctional voiding are other well-known risk factors in older children with normal UTs [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

The risk factors of recurrent urinary tract infection in infants with normal urinary systems

Shim

Lee

2009

Pediatr Nephrol

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Urinary tract infection (UTI) frequently recurs and increases the risk of renal scarring even in infants with normal urinary tracts. Our study was aimed to find preventive measures for recurrent UTI in these infants. One-hundred ninety infants, who were diagnosed with their first febrile UTI and were proven to have normal urinary systems, were enrolled. We investigated the incidence of recurrent UTI during the following year and the following risk factors: gender, young age, phimosis, vaginal reflux, and acute pyelonephritis (APN) diagnosed by 99m-technetium dimercaptosuccinic acid ((99m)Tc-DMSA)(+) scintigraphy. The incidence of recurrent UTI was 21.1%. The difference in recurrence rate according to gender was not significant. The recurrence rate in infants less than 6 months of age was 25.8%, which was significantly higher than the 7.7% in older infants (P = 0.045). In male infants with persistent non-retractile prepuces, recurrent UTI developed in 34.0%, which was significantly higher than the 17.6% in male infants with retractile prepuces (P = 0.022). The presence of APN in male infants increased the likelihood of recurrent UTI when analyzed by multivariate logistic regression [odds ratio 4.6, 95% confidence interval (95% CI) 1.6-13.0, P = 0.003]. The presence of vaginal reflux and APN in female infants gave no significant difference to the incidence of recurrent UTI. In infants with normal urinary systems, age less than 6 months, non-retractile prepuces and APN in male infants, were the most important risk factors for recurrent UTIs. It is suggested that non-retractile prepuces should be adequately treated to become retractile in young male infants with APN.

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“…Neumann, as early as 1973, described a decrease in recurrent UTI by correcting constipation (53). Girls with recurrent UTIs have a particularly high incidence of dysfunctional elimination (11,52,67) and should be screened with a thorough history, voiding diary, and appropriate clinical evaluation to rule out constipation. In children who demonstrate a high likelihood for this diagnosis, it may be appropriate to address these issues before proceeding to more invasive tests such as a VCUG.…”

Section: Voiding Habitsmentioning

confidence: 99%

Diagnosis and Management of Pediatric Urinary Tract Infections

2005

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Urinary tract infection (UTI) is among the most commonly diagnosed bacterial infections of childhood. Although frequently encountered and well researched, diagnosis and management of UTI continue to be a controversial issue with many challenges for the clinician. Prevalence studies have shown that UTI may often be missed on history and physical examination, and the decision to screen for UTI must balance the risk for missed infections with the cost and inconvenience of testing. Interpretation of rapid diagnostic tests and culture is complicated by issues of contamination, false test results, and asymptomatic colonization of the urinary tract with nonpathogenic bacteria. The appropriate treatment of UTI has been controversial and has become more complex with the emergence of resistance to commonly used antibiotics. Finally, the anatomic evaluation and long-term management of a child after a UTI have been based on limited evidence, and newer studies question some of the tenets of prior recommendations. The goal of this review is to provide an up-to-date summary of the literature with particular attention to practical questions about diagnosis and management for the clinician

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Family History and Behavioral Abnormalities in Girls With Recurrent Urinary Tract Infections: A Controlled Study

Abstract: The evaluation of girls with recurrent urinary tract infections should focus on identifying behavioral aspects, including infrequent voiding, poor fluid intake and functional stool retention.

Cited by 46 publications

References 12 publications

Hydration and Disease

Hydration and Disease

The risk factors of recurrent urinary tract infection in infants with normal urinary systems

Diagnosis and Management of Pediatric Urinary Tract Infections

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