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Dysuria in Children

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21. Urinary Tract Infection in Children - Diagnosis

, Morse TS et al. Comparative bacteriologic study of urine obtained from children by percutaneous suprapubic aspiration of the bladder and by catheter. Pediatrics. 1959; 24: 983-91. 26. Saccharow L and Pryles CV. Further experience with the use of percutaneous suprapubic aspiration of the urinary bladder. Bacteriologic studies in 654 infants and children. Pediatrics. 1969; 43: 1018-24. 27. Shannon FT, Sepp E, and Rose GR. THE DIAGNOSIS OF BACTERIURIA BY BLADDER PUNCTURE IN INFANCY AND CHILDHOOD (...) . Journal of Paediatrics and Child Health. 1969; 5: 97-100. 28. Chen L, Hsiao AL, Moore CL et al. Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics. 2005; 115: 108-11. 29. Munir V, Barnett P, and South M. Does the use of volumetric bladder ultrasound improve the success rate of suprapubic aspiration of urine? Pediatric Emergency Care. 2002; 18: 346-9. 30. Ramage IJ, Chapman JP, Hollman AS et al. Accuracy of clean-catch urine collection in infancy

2014 KHA-CARI Guidelines

22. Diagnosis and Treatment of Urinary Tract Infection in Children

, Knight J et al. Risk factors for recurrent urinary tract infection in preschool children. Journal of Paediatrics & Child Health. 1999; 35: 454-9. 6. Williams G, Lee A, and Craig J. Antibiotics for the prevention of urinary tract infection in children: A systematic review of randomized controlled trials. Journal of Pediatrics. 2001; 138: 868-74. 7. Le Saux N, Pham B, and Moher D. Evaluating the benefits of antimicrobial prophylaxis to prevent urinary tract infections in children: a systematic review (...) and association with prophylactic antimicrobials. JAMA. 2007; 298: 179-86. 3. Harmsen M, Wensing M, Braspenning JCC et al. Management of children's urinary tract infections in Dutch family practice: a cohort study. BMC Family Practice. 2007; 8: 9. 4. Panaretto K, Craig J, Knight J et al. Risk factors for recurrent urinary tract infection in preschool children. Journal of Paediatrics & Child Health. 1999; 35: 454-9. 2. Acute Management Guideline Recommendations: General a. We recommend starting treatment

2014 KHA-CARI Guidelines

23. Urinary Tract Infection in Children - Acute management

infections in Dutch family practice: a cohort study. BMC Family Practice. 2007; 8: 9. 4. Panaretto K, Craig J, Knight J et al. Risk factors for recurrent urinary tract infection in preschool children. Journal of Paediatrics & Child Health. 1999; 35: 454-9. 5. Whiting P, Westwood M, Bojke L et al. Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model. Health Technology Assessment (Winchester (...) ________________________________________________________________________________________________________________________ Diagnosis and Treatment of UTI in Children: Acute Management September 2014 Page 2 of 13 should not be used as first line therapy (ungraded). Refer to Table 1 for commonly used antibiotics. c. Reassessment of a treated infant or child is indicated if they are still unwell after 48 hours. (ungraded) IMPLEMENTATION AND AUDIT Units should consider an audit of current practices of assessment and treatment of children with symptoms of UTI that includes a review of patient outcomes and alignment of current

2014 KHA-CARI Guidelines

24. Paediatric Urology

evaluation 45 3M.2.1 Infants presenting because of prenatally diagnosed hydronephrosis 46 3M.2.2 Siblings and offspring of reflux patients 46 3M.2.3 Recommendations for paediatric screening of VUR 46 3M.2.4 Children with febrile urinary tract infections 46 3M.2.5 Children with lower urinary tract symptoms and vesicoureteric reflux 47 3M.3 Disease management 47 3M.3.1 Non-surgical therapy 47 3M.3.1.1 Follow-up 47 3M.3.1.2 Continuous antibiotic prophylaxis 47 3M.3.2 Surgical treatment 47 3M.3.2.1 (...) systems 34 3J.3 Diagnostic evaluation 34 3J.4 Disease management 34 3J.4.1 Supportive treatment measures 34 3J.4.2 Alarm treatment 34 3J.4.3 Medication 34 3K MANAGEMENT OF NEUROGENIC BLADDER IN CHILDREN 36 3K.1 Epidemiology, aetiology and pathophysiology 36 3K.2 Classification systems 36 3K.3 Diagnostic evaluation 37 3K.3.1 Urodynamic studies 37 3K.3.1.1 Method of urodynamic study 374 PAEDIATRIC UROLOGY - LIMITED UPDATE MARCH 2015 3K.3.1.2 Uroflowmetry 37 3K.3.2 Cystometry 37 3K.4 Disease management

2015 European Association of Urology

25. Post-renal transplant urolithiasis in children: an increasingly diagnosed complication: a retrospective cohort study. (Abstract)

Post-renal transplant urolithiasis in children: an increasingly diagnosed complication: a retrospective cohort study. Urolithiasis in renal transplant (RTx) recipients is a potential cause of allograft loss if obstruction is untreated. It is not clear if paediatric transplant recipients are following the global trend for increased prevalence of urolithiasis over time.A retrospective chart review was undertaken to evaluate the frequency, risk factors and characteristics of post-RTx urolithiasis (...) over two decades (1995-2016), in a tertiary Australian paediatric hospital.Stones were diagnosed in 8 of 142 (5.6%) recipients, 6 of whom were transplanted in the latter decade. All patients were male, with a median age 4.9 years and median weight 11.8 kg. Presentation was with haematuria (n=4), pain (n=2), dysuria (n=2), stone passage (n=1) and asymptomatic (n=1). Time to presentation was bimodal; three stones were identified in the initial 3 months post RTx and the remainder after 31-53 months

2019 Archives of Disease in Childhood

26. Targeted workup after initial febrile Urinary Tract Infection: Using a novel machine learning model to identify children most likely to benefit from VCUG. (Abstract)

Targeted workup after initial febrile Urinary Tract Infection: Using a novel machine learning model to identify children most likely to benefit from VCUG. Significant debate persists regarding appropriate work-up of children with initial UTI. Greatly preferable to "all-or-none" approaches in current guideline would be a model that can identify children at highest risk for both recurrent UTI and VUR to allow targeted VCUG, while children at low risk could be observed. We sought to develop (...) a model to predict probability of both recurrent UTI and VUR ("rUTI-associated VUR") among children after initial UTI.We included the RIVUR and CUTIE subjects, excluding the prophylaxis treatment arm from RIVUR. The main outcome was defined as rUTI-associated VUR. Missing data was imputed using optimal tree imputation. Data were split into training/validation/testing sets. Machine learning algorithm hyperparameters were tuned by the validation set with 5-fold cross validation.500 subjects (305 RIVUR

2019 Journal of Urology Controlled trial quality: uncertain

27. The role of bladder function in the pathogenesis and treatment of urinary tract infections in toilet-trained children. (Abstract)

The role of bladder function in the pathogenesis and treatment of urinary tract infections in toilet-trained children. Urinary tract infections (UTIs) are a common reason for referral to pediatric specialists and the risk profile of these children is influenced by age, sex, and underlying urinary tract abnormalities. UTIs in toilet-trained children represent a different entity than confirmed, febrile UTIs that occur in infants, impacted by suboptimal bladder habits, bladder dysfunction (...) , constipation, or a combination of these factors. A comprehensive literature search was conducted using PubMed and MEDLINE and search terms included recurrent UTI, VUR, bladder and bowel dysfunction (BBD), constipation, lower urinary tract symptoms, and voiding dysfunction. Common presenting symptoms of UTI in children include fever (> 38 °C) with or without "traditional" lower urinary tract symptoms (LUTS) such as dysuria, malodorous urine, frequency, urgency, and incontinence. However, many infections

2019 Pediatric Nephrology

28. Intermediate-Term Efficacy and Tolerance of Statins in Children. (Abstract)

Intermediate-Term Efficacy and Tolerance of Statins in Children. To evaluate the intermediate-term efficacy and tolerance of statins in children and adolescents with familial hypercholesterolemia.A total of 131 children or adolescents treated with statins for familial hypercholesterolemia were prospectively included. The efficacy of treatment was established by the percentage of children who achieved low density lipoprotein-cholesterol (LDL-C) levels <160 mg/dL during treatment. Treatment (...) cases of a clinically asymptomatic increase in creatine phosphokinase (CPK) levels, 2 cases of an increase in CPK levels with muscular symptoms, 14 cases of myalgia without an increase in CPK levels, 3 cases of abdominal pain, 1 case of dysuria, and 1 case of diffuse pain. None of these side effects led to the discontinuation of statin therapy, although a change of statin was required in 7 cases. This new statin was tolerated in all cases. No patients had abnormal liver function during treatment.The

2019 Journal of Pediatrics

29. Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan. Full Text available with Trip Pro

, it is often associated with lower urinary tract symptoms like dysuria, urgency, suprapubic pain, and daytime incontinence. Children presenting with NE often have co-morbid conditions like constipation, urinary tract infection, sleep disorders, and developmental delay. Many children presenting with these conditions as the primary complaint may also have NE. It should be addressed as unrecognized and untreated NE can cause additional morbidity and distress. (...) Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan. Nocturnal enuresis (NE) is a common symptom in children worldwide. International Children's Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE with co-morbid conditions. The objectives of this study were to determine the frequencies and types of NE and associated

2018 BMC Family Practice

30. Use of baclofen in children with dysfunctional voiding: a preliminary report Full Text available with Trip Pro

observed. The number of voluntary voiding and wetting episodes were significantly decreased after treatment with baclofen (p = 0.001). Three main complaints of the patients were urgency (p = 0.001), dysuria (p = 0.004) and straining (p = 0.004) and all were significantly decreased after medical therapy with baclofen.Baclofen may be useful in treatment of pediatric dysfunctional voiding. It was well tolerated among our patients with a remarkable reduction in their symptoms. (...) Use of baclofen in children with dysfunctional voiding: a preliminary report The aims of the present study were to examine the effectiveness and safety of baclofen in children with dysfunctional voiding (DV).Thirty children with primary DV were enrolled. Patients underwent history taking, complete physical examination, urine analysis and culture, ultrasonography of the urinary system, a uroflowmetry study and post urine residue analysis. The Dysfunctional Voiding Symptom Score (DVSS

2018 Central European journal of urology Controlled trial quality: uncertain

31. Eosinophilic cystitis in children: A case report Full Text available with Trip Pro

Eosinophilic cystitis in children: A case report The aim of the present case report was to investigate the clinical features, pathological examination and treatment of eosinophilic cystitis (EC) in children. Two cases of EC were reported and reviewed from January 2016 to March 2017. Case 1 (male; 6 years old) had intermittent hematuria, frequent urination, urgent urination, difficulty in urination and abdominal pain. Case 2 (male; 7 years old) had frequent urination, urgent urination, urinary (...) pain, dysuria and suprapubic pain with no hematuria. One patient had a history of allergies and both patients underwent a cystoscope biopsy. Blood eosinophils were clearly increased and a bone marrow biopsy examination revealed that marrow eosinophils were also increased in both cases. The urine culture results were negative. Ultrasonography and computed tomography revealed uneven thickening of the bladder wall and diffusive mucosal lesions. Cystoscopy revealed that the bladder volume became

2018 Experimental and therapeutic medicine

32. Efficacy, acceptability and tolerability of Zelesse® for the treatment of non-specific vulvovaginitis in paediatric patients: The NINESSE Study Full Text available with Trip Pro

with symptoms suggestive of non-specific vulvovaginitis. They were administered Zelesse® as a single treatment for 15 ± 5 days. Pruritus, burning, dysuria, erythema, leucorrhoea and oedema were evaluated before and after treatment. Results A total of 71 paediatric patients were enrolled in the study (mean ± SD age, 4.5 ± 1.9 years). The most significant effects were observed for pruritus and burning, where 98.4% (62 of 63) and 96.9% (63 of 65) of the patients improved after treatment, respectively. Zelesse® (...) Efficacy, acceptability and tolerability of Zelesse® for the treatment of non-specific vulvovaginitis in paediatric patients: The NINESSE Study Objective To evaluate the efficacy, tolerability and acceptability of Zelesse®, an intimate hygiene wash solution, in the relief of the symptoms and signs of non-specific vulvovaginitis in paediatric patients. Methods The NINESSE Study was a prospective, observational, multicentre study involving females aged 2-8 years who attended paediatric offices

2018 The Journal of international medical research

33. Dysuria in Women

Dysuria in Women Dysuria in Women Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Dysuria in Women Dysuria in Women Aka: Dysuria (...) discharge Cervical motion tenderness Skin exam Localized genitourinary dermatitis (e.g. HSV, , chronic inflammatory condition) V. Symptoms and Signs See See See See VI. Evaluation Urine Sample suspected: examination Saline Preparation (Wet Prep) Sexually active patient PCR and PCR Consider of cervical discharg VII. Management: Persistent Dysuria with unremarkable evaluation Consider Topical or systemic irritants Discontinue offending agents Consider treating for in sexually active women for 7 days

2015 FP Notebook

34. Dysuria in Men

Dysuria in Men Dysuria in Men Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Dysuria in Men Dysuria in Men Aka: Dysuria in Men (...) Bing) These images are a random sampling from a Bing search on the term "Dysuria in Men." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Symptoms About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2015 FP Notebook

35. Dysuria

Dysuria Dysuria Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Dysuria Dysuria Aka: Dysuria , Urethritis From Related Chapters II (...) . Definition Burning or stinging of the with voiding III. Causes: By Cohort See See See IV. Causes: Infectious itis Urethritis s (15-40% of cases) (following anal intercourse) Genital ( ) genitalium urealyticum vaginalis Other genitourinary infections Women See (e.g. , yeast ) Men See or V. Causes: Dermatologic See Spermacidal gel Topical deodorants Behcet Syndrome VI. Causes: Medication and food causes of Dysuria Medications G Cyclophosphamide s Food and herbal supplement adverse effects Pumpkin seeds VII

2015 FP Notebook

36. Child maltreatment - recognition and management

or neglect agree with practitioners how they will communicate with each other. Statement 5. Children and young people who have experienced abuse or neglect are offered therapeutic interventions based on a detailed assessment of therapeutic needs. [ ] Background information Background information Definition What is it? Note: for the purpose of this clinical summary we refer to an infant as aged less than 1 year, a child as aged less than 13 years, and a young person as aged 13-17 years. The National (...) , including inappropriate threats or methods of discipline. Exposure to frightening or traumatic experiences. Using the child for the fulfilment of the adult's needs (for example, in marital disputes). Failure to promote the child's appropriate socialisation (for example, involving children in unlawful activities, isolation, not providing stimulation or education). Emotional unavailability and unresponsiveness from the parent or carer towards a child or young person and in particular towards an infant

2019 NICE Clinical Knowledge Summaries

37. Late Effects of Treatment for Childhood Cancer (PDQ®): Health Professional Version

for Childhood Cancer During the past five decades, dramatic progress has been made in the development of curative therapy for pediatric malignancies. Long-term survival into adulthood is the expectation for more than 80% of children with access to contemporary therapies for pediatric malignancies.[ , ] The therapy responsible for this survival can also produce adverse long-term health-related outcomes, referred to as late effects , which manifest months to years after completion of cancer treatment (...) . Inherent tissue sensitivities and capacity for normal tissue repair. Hormonal milieu. Function of organs not affected by cancer treatment. Socioeconomic status. Health habits. Resources to Support Survivor Care Risk-based screening The need for long-term follow-up for childhood cancer survivors is supported by the American Society of Pediatric Hematology/Oncology, the International Society of Pediatric Oncology, the American Academy of Pediatrics, the Children’s Oncology Group (COG), and the Institute

2018 PDQ - NCI's Comprehensive Cancer Database

38. Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls Full Text available with Trip Pro

Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls To review our experience and results in the diagnosis and treatment of urethral prolapse (UP) in Chinese girls.We conducted a retrospective chart review of 89 consecutive girls (aged <16 years) with UP and without other complications, who received treatment for UP from January 1999 to January 2015 (a study period of 16 years) at the Children's Hospital of Chongqing Medical University, China (...) . Data analysed included: age, symptoms, clinical findings, predisposing factors, management, and outcomes.The presenting symptoms in the 89 girls were: mass (54 girls), bleeding (34), and dysuria/straining at micturition (one). In all, 14 patients received conservative treatment as their symptoms were mild, and 75 were successfully treated by excision of the prolapsed urethral mucosa or ligation over a Foley catheter, as their symptoms were severe and recurred too frequently to be managed

2017 Arab journal of urology

39. Zinc Supplementation in Treatment of Children With Urinary Tract Infection. (Abstract)

Zinc Supplementation in Treatment of Children With Urinary Tract Infection. Urinary tract infection (UTI) is very common in children. Precocious diagnosis and appropriate treatment are important because of the permanent disease complications. Zinc increases the response to treatment in many infections. In this study, we explored the effect of zinc in treating UTI.Two hundred children with UTI were divided into 2 groups of 100 who were comparable in terms of age, sex, urine laboratory profiles (...) , and clinical signs and symptoms. The control group received a standard treatment protocol for UTI and the intervention group received oral zinc sulfate syrup plus routine treatment of UTI.A faster recovery was observed in the patients receiving zinc, but abdominal pain was exacerbated by zinc and lasted longer. Three months after the treatment, there was no significant difference between the two groups in the time of fever stop and negative urine culture.In children with UTI, zinc supplementation has

2017 Iranian journal of kidney diseases Controlled trial quality: uncertain

40. Clinical Values of Voiding Diary for Diagnosis and Treatment for Monosymptomatic Enuresis in Children

table for eligibility information Ages Eligible for Study: 5 Years to 18 Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Children are from 5 to 18 years old and do not spontaneously urinate at least 2 times a week for more than 3 months. Monosymptomatic Enuresis (MNE): children are only associated with nocturnal enuresis, not with daytime lower urinary tract symptoms. Exclusion Criteria: Non-Monosymptomatic Enuresis (NMNE):children have (...) day-time symptoms, such as overactive bladder, discoordinated micturition, dysuria, infrequent voiding and so on. Children have psychiatric disorder, urinary tract infection, malformations of the urethra, kidney disease and so on. 3.Children have been previously treated for nocturnal enuresis who use drugs or other therapeutic regimen. 4.Secondary enuresis: after 6 months of non-enuresis period, children wet the bed again. Contacts and Locations Go to Information from the National Library

2017 Clinical Trials

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