The rationale for bladder washouts in children with neurogenic bladder

被引:0
作者
Singh, Gopal-Krsna [1 ]
Deshpande, Aniruddh, V [2 ,3 ,4 ,5 ]
Schlegel, Gemma [5 ]
Starkey, Malcolm Ronald [5 ]
Taghavi, Kiarash [1 ,6 ,7 ]
机构
[1] Monash Univ, Fac Med Nursing & Hlth Sci, Monash Hlth, Dept Paediat,Sch Clin Sci, Melbourne, Vic, Australia
[2] Childrens Hosp Westmead, Dept Urol, Westmead, NSW, Australia
[3] Childrens Hosp Westmead, Ctr Kidney Res, Westmead, NSW, Australia
[4] Sch Publ Hlth, Westmead, NSW, Australia
[5] Monash Univ, Sch Translat Med, Dept Immunol, Bladder & Kidney Hlth Discovery Program, Melbourne, Vic, Australia
[6] Monash Hlth, Monash Childrens Hosp, Dept Paediat Urol, Melbourne, Vic, Australia
[7] Monash Childrens Hosp, Dept Paediat Urol, 246 Clayton Rd, Melbourne, Vic 3168, Australia
关键词
antibiotic resistance; bladder washouts; neurogenic bladder; urinary tract infections; URINARY-TRACT-INFECTION; INTERMITTENT CATHETERIZATION; BACTERIURIA; COMPLICATIONS; IRRIGATION; PREVENTION; UROLOGISTS;
D O I
10.1002/nau.25450
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Children with a neurogenic bladder are at risk of developing recurrent urinary tract infections and long-term kidney failure. Due to an altered lower urinary tract, children may be overtreated for simple bacteriuria or undertreated for a potentially severe urinary tract infection. This group of patients represent high users of healthcare, and are at risk of colonization and development of antibiotic resistance. Bladder washouts with non-antibiotic electrochemically activated solutions are a potential new prophylactic option for patients with bladder dysfunction when clean intermittent catheterization has resulted in chronic bacteriuria.
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页数:6
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