Journal article
Individualizing Management of Vesicoureteral Reflux
Nephro-urology monthly, Vol.4(3), pp.530-534
2012
DOI: 10.5812/numonthly.1866
PMCID: PMC3614288
PMID: 23573480
Abstract
Background: Approaches to the management of vesicoureteral reflux (VUR) in children have changed rapidly in recent years. Multiple studies published over the last decade have contributed to these changes by challenging the dogma that all children with reflux require and benefit from continuous antibiotic prophylaxis. The advent and wide acceptance of endoscopic treatment for VUR has also contributed to these changes. Although new guidelines for VUR management have recently been proposed, they are broad and relatively non-specific. Many physicians and parents remain unsure which children are at risk from their VUR, and which would benefit from antibiotic prophylaxis or surgical intervention.
Materials and methods: A literature search, followed by an additional search based on bibliographies, was performed for articles reporting on VUR and the utility of antibiotic prophylaxis for its treatment, as well as the chance of spontaneous resolution.
Results: Articles selected for review included those that provided information to assist physicians in determining if a child with VUR is at increased risk of pyelonephritis or persistent VUR, and would benefit from intervention. Particular emphasis was placed on recent prospective, randomized trials in children with VUR.
Conclusions: Because of the multiple factors affecting risk in a child with VUR, specific guidelines for intervention cannot be provided. However, an accurate understanding of these risk factors will help the physician and parents to develop a more individualized management plan for a child with VUR.
Details
- Title: Subtitle
- Individualizing Management of Vesicoureteral Reflux
- Creators
- Christopher S Cooper - Department of Urology, University of Iowa Department of Urology, Iowa, United States
- Resource Type
- Journal article
- Publication Details
- Nephro-urology monthly, Vol.4(3), pp.530-534
- Publisher
- Kowsar
- DOI
- 10.5812/numonthly.1866
- PMID
- 23573480
- PMCID
- PMC3614288
- ISSN
- 2251-7006
- eISSN
- 2251-7014
- Alternative title
- Individualized Management of VUR
- Language
- English
- Date published
- 2012
- Academic Unit
- Stead Family Department of Pediatrics; Urology; Medicine Administration
- Record Identifier
- 9984051725902771
Metrics
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