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Dysuria in Children

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61. Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling. Full Text available with Trip Pro

the absence of an alternative source of infection was associated with UTI (P = 0.64; P = 0.69, respectively). The probability of UTI in children aged ≥3 years without increased urinary frequency or dysuria was 2%. The probability of UTI was ≥5% in all other groups. Urine sampling based purely on GP suspicion would have missed 80% of UTIs, while a sampling strategy based on current guidelines would have missed 50%.Approximately 6% of acutely unwell children presenting to UK general practice met (...) Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling. Urinary tract infection (UTI) in children may be associated with long-term complications that could be prevented by prompt treatment.To determine the prevalence of UTI in acutely ill children ≤ 5 years presenting in general practice and to explore patterns of presenting symptoms and urine sampling strategies.Prospective observational study with systematic

2013 British Journal of General Practice

62. Differentiation of Epididymitis and Appendix Testis Torsion by Clinical and Ultrasound Signs in Children. (Abstract)

for distinguishing AT and epididymitis.Most children with an acute scrotum will have AT or epididymitis. It will be possible to differentiate most cases using the clinical and ultrasound findings. In our study, the best predictors were dysuria, a painful epididymis on palpation, and altered epididymal echogenicity and increased peritesticular perfusion found on ultrasound studies for epididymitis and a positive blue dot sign for AT.Copyright © 2013 Elsevier Inc. All rights reserved. (...) Differentiation of Epididymitis and Appendix Testis Torsion by Clinical and Ultrasound Signs in Children. To identify the signs that can help to differentiate torsion of the appendix testis (AT) and epididymitis and to establish the incidence of the various pathologic entities in boys with an acute scrotum.A retrospective study was performed of the data from all boys treated at our institute from January 2008 to January 2012 for the diagnosis of an "acute scrotum." The clinical

2013 Urology

63. Late Effects of Treatment for Childhood Cancer

Late Effects of Treatment for Childhood Cancer Late Effects of Treatment for Childhood Cancer (PDQ®)—Health Professional Version - National Cancer Institute Menu Search Search Search General Information About Late Effects of Treatment 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 (...) TO, et al.: Health behaviors, medical care, and interventions to promote healthy living in the Childhood Cancer Survivor Study cohort. J Clin Oncol 27 (14): 2363-73, 2009. Schultz KA, Chen L, Chen Z, et al.: Health and risk behaviors in survivors of childhood acute myeloid leukemia: a report from the Children's Oncology Group. Pediatr Blood Cancer 55 (1): 157-64, 2010. Tercyak KP, Donze JR, Prahlad S, et al.: Multiple behavioral risk factors among adolescent survivors of childhood cancer

2012 PDQ - NCI's Comprehensive Cancer Database

64. Articles of the month Special Edition: Pediatric UTI

for diagnosis and management of UTI give us these reasons for treating pediatric UTI: UTI can cause acute renal injury Kidney damage increases with delay in diagnosis and recurrent disease Diagnosis allows us to detect obstructive abnormalities or severe reflux UTI can cause hypertension and ESRD later in life Robinson JL, Finlay JC, Lang ME, Bortolussi R, . Urinary tract infections in infants and children: Diagnosis and management. Paediatrics & child health. 19(6):315-25. 2014. PMID: [ ] The CPS (Canadian (...) , despite their lack of symptoms. Ralston S, Hill V, Waters A. Occult serious bacterial infection in infants younger than 60 to 90 days with bronchiolitis: a systematic review. Archives of pediatrics & adolescent medicine. 165(10):951-6. 2011. PMID: I frequently hear that kids with obvious clinical bronchiolitis have a high rate of serious bacterial illness (meaning UTI). Indeed, if you culture children with bronchiolitis, you will often find bacteria in the urine. I won’t go through all the individual

2016 First10EM

65. The SCOUT Study: Short Course Therapy for Urinary Tract Infections in Children

two months (at least 36 weeks gestation from birth for subjects < two years of age) to 10 years with a confirmed diagnosis of a urinary tract infection (UTI) to evaluate 672 for the study's primary outcome measure. UTI is one of the most common serious bacterial infections during childhood. Escherichia coli (E. coli) isolates account for 80-90 percent of all outpatient UTIs in children. Although antibiotics are the first treatment choice for urinary tract infections, antibiotic-resistant strains (...) temperature > / = 100.4 degrees Fahrenheit or 38 degrees Celsius (measured anywhere on the body) 24 hours prior to the enrollment visit Asymptomatic: report NONE of the following symptoms: Symptoms for all children (ages two months to 10 years): Fever (a documented temperature of at least 100.4 degrees Fahrenheit OR 38 degrees Celsius measured anywhere on the body) dysuria Additional symptoms for children > 2 years of age: suprapubic, abdominal, or flank pain or tenderness OR urinary urgency, frequency

2012 Clinical Trials

66. Use of Validated Bladder/Bowel Dysfunction Questionnaire in the Clinical Pediatric Urology Setting. (Abstract)

Use of Validated Bladder/Bowel Dysfunction Questionnaire in the Clinical Pediatric Urology Setting. Questionnaires to quantify pediatric bladder/bowel dysfunction have recently been developed as research instruments. We evaluated our use of a bladder/bowel dysfunction questionnaire in a busy clinical setting.We distributed a validated bladder/bowel dysfunction questionnaire to all new pediatric urology outpatients older than age 4 years from May 1 to July 31, 2010. We instructed families (...) to complete the questionnaire without assistance. Physicians were blinded to responses during the study period. We compared total scores between groups of patients with bladder/bowel dysfunction related and bladder/bowel dysfunction unrelated primary diagnoses. We also compared individual item scores pertaining to urinary incontinence, dysuria, nocturnal enuresis and constipation in patients with those specific primary ICD-9 diagnosis codes to those of other bladder/bowel dysfunction related diagnoses.Of

2012 Journal of Urology

67. Prevalence and predictors of urinary tract infection and severe malaria among febrile children attending Makongoro health centre in Mwanza city, North-Western Tanzania Full Text available with Trip Pro

total of 231 febrile under-fives were enrolled in the study. Of all the children, 20.3% (47/231, 95%CI, 15.10-25.48), 9.5% (22/231, 95%CI, 5.72-13.28) and 7.4% (17/231, 95%CI, 4.00-10.8) had urinary tract infections, P. falciparum malaria and bacteremia respectively. In general, 11.5% (10/87, 95%CI, 8.10-14.90) of the children had two infections and only one child had all three infections. Predictors of urinary tract infections (UTI) were dysuria (OR = 12.51, 95% CI, 4.28-36.57, P < 0.001) and body (...) Prevalence and predictors of urinary tract infection and severe malaria among febrile children attending Makongoro health centre in Mwanza city, North-Western Tanzania In malaria endemic areas, fever has been used as an entry point for presumptive treatment of malaria. At present, the decrease in malaria transmission in Africa implies an increase in febrile illnesses related to other causes among underfives. Moreover, it is estimated that more than half of the children presenting with fever

2012 Archives of Public Health

68. Group Versus Individual Urotherapy for Children

group urotherapy in small groups with other children. Active Comparator: Individual urotherapy Children will receive standard individual urotherapy in regular pediatric urology clinic. Behavioral: Individual Urotherapy Children will receive standard individual urotherapy in regular pediatric urology clinic. Outcome Measures Go to Primary Outcome Measures : lower urinary tract symptoms [ Time Frame: 3 months ] incontinence, urgency, frequency, dysuria, hesitancy, straining and constipation Secondary (...) to Brief Summary: What are we doing? A pilot research study is planned to take place within the Pediatric Urology program at McMaster Children's hospital starting this spring/summer 2012. The pilot study will compare standard individual teaching that occurs in pediatric urology clinic about bladder re-training and achieving healthy bladder and bowel habits to a group teaching session. The group teaching session will be one hour in length and include the same content taught in pediatric urology clinic

2012 Clinical Trials

69. Incidence and outcome of symptomatic urinary tract infection in children. Full Text available with Trip Pro

of the stricter diagnostic criterion used in the study. Urinary pus cell counts were also carried out and sometimes found to be misleading. Of the 14 children found to have an infection, three had a radiological abnormality. Five of the children had a recurrence of infection within the first two years, and one an asymptomatic bacteriuria seven years after diagnosis. Only six out of 34 children presenting with dysuria had infected urine, and an association was discovered between abacterial dysuria (...) Incidence and outcome of symptomatic urinary tract infection in children. The incidence of symptomatic urinary tract infection in 2879 children aged under 15 years was studied over 18 months in a single general practice. Infection was diagnosed if bacterial counts in three consecutive samples exceeded 100,000/ml. The incidence of urinary tract infection was 1.7 per 1000 boys at risk per year and 3.1 per 1000 girls. These values are lower than those of comparable studies, possibly because

1979 British medical journal

70. An unusual cause of terminal hematuria in a child: Eosinophilic cystitis Full Text available with Trip Pro

An unusual cause of terminal hematuria in a child: Eosinophilic cystitis Eosinophilic cystitis is a rare inflammatory disease of the bladder; it rarely occurs in children. Patients typically show irritative urination symptoms frequently, with a possible need for urgency, alongside dysuria, gross haematuria, suprapubic pain and painful urination. Sometimes bladder mass accumulation with the possibility of malignancy is also observed. We present an 8-year-old male patient who gained admission

2014 Canadian Urological Association Journal

71. Nausea and Vomiting in Infants and Children

Nausea and Vomiting in Infants and Children Nausea and Vomiting in Infants and Children - Pediatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test (...) vomiting is abnormal. The most common causes of vomiting in infants and neonates include the following: Acute viral disease Other important causes in infants and neonates include the following: Intestinal obstruction (eg, , volvulus, intestinal atresia, stenosis) (typically in infants aged 3 to 36 mo) Less common causes of recurrent vomiting include and food intolerance. (eg, , organic acidemias) are uncommon but can manifest with vomiting. Older children The most common cause is Acute viral Non-GI

2013 Merck Manual (19th Edition)

72. Urinary Tract Infection (UTI) in Children

Diabetes Trauma In females, sexual intercourse Urinary tract abnormalities in children Urinary tract infections in children are a marker of possible urinary tract abnormalities (eg, obstruction, neurogenic bladder, ureteral duplication); these abnormalities are particularly likely to result in recurrent infection if (VUR) is present. About 20% to 30% of infants and children age 12 to 36 mo with UTI have VUR. The younger the child at the first UTI, the higher the likelihood of VUR. VUR is classified (...) , failure to thrive, vomiting, mild jaundice (which is usually direct bilirubin elevation), lethargy, fever, and hypothermia. may develop. Infants and children < 2=""> with UTI may also present with poorly localizing signs, such as fever, GI symptoms (eg, vomiting, diarrhea, abdominal pain), or foul-smelling urine. About 4 to 10% of febrile infants without localizing signs have UTI. In children > 2 yr, the more classic picture of cystitis or pyelonephritis can occur. Symptoms of cystitis include dysuria

2013 Merck Manual (19th Edition)

73. Urinary Incontinence In Children

Urinary Incontinence In Children Urinary Incontinence In Children - Pediatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge (...) ( ). (See also .) Podcast General references 1. Wright, AJ: The epidemiology of childhood incontinence. In Pediatric Incontinence, Evaluation and Clinical Management , edited by Franco I, Austin P, Bauer S, von Gontard A, Homsy I. Chichester, John Wiley & Sons Ltd., 2015, pp. 37–60. 2. Horowitz M, Misseri R: Diurnal and nocturnal enuresis. In Clinical Pediatric Urology , ed. 5, edited by Docimo S, Canning D, Khoury A. London, Martin Dunitz Ltd., 2007, pp. 819–840. 3. Austin PF, Vricella GJ: Functional

2013 Merck Manual (19th Edition)

74. Renal and ureteric stones: assessment and management

with ureteric or renal stones. 1.7.3 Consider referring children and young people with ureteric or renal stones to a paediatric nephrologist or paediatric urologist with expertise in this area for assessment and metabolic investigations. Renal and ureteric stones: assessment and management (NG118) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 10 of 33T o find out why the committee made the recommendations on metabolic (...) . If a woman is pregnant, offer ultrasound instead of CT. 1.1.2 Offer urgent (within 24 hours of presentation) ultrasound as first-line imaging for children and young people with suspected renal colic. 1.1.3 If there is still uncertainty about the diagnosis of renal colic after ultrasound for children and young people, consider low-dose non-contrast CT. T o find out why the committee made the recommendations on diagnostic imaging and how they might affect practice, see rationale and impact. 1.2 Pain

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

75. Fever in under 5s: assessment and initial management

not routinely have a chest X-ray. [2007] [2007] 1.4.7 T est urine in children with fever as recommended in NICE's guideline on urinary tract infection in under 16s. [2007] [2007] 1.4.8 When a child has been given antipyretics, do not rely on a decrease or lack of decrease in temperature to differentiate between serious and non-serious illness. [2017] [2017] Use of antibiotics b Use of antibiotics by the non-paediatric pr y the non-paediatric practitioner actitioner 1.4.9 Do not prescribe oral antibiotics (...) 1.5.1 Management by the paediatric specialist should start with a clinical assessment as described in section 1.2. The healthcare professional should attempt to identify symptoms and signs of serious illness and specific diseases as summarised in tables 1 and 2. [2007] [2007] Children y Children younger than 3 ounger than 3 months months 1.5.2 Infants younger than 3 months with fever should be observed and have the following vital signs measured and recorded: temperature heart rate respiratory rate

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

76. Prostatitis (acute): antimicrobial prescribing

during a course of penicillin in childhood. Fewer than 10% of people who think they are allergic to penicillin are truly allergic. See the NICE guideline on drug allergy for more information. People with a history of immediate hypersensitivity to penicillins may also react to cephalosporins and other beta-lactam antibiotics (BNF, August 2018). Aminoglycoside doses are based on weight and renal function and whenever possible treatment should not exceed 7 days (BNF, August 2018). There are restrictions (...) for a further 14 days as needed based on clinical assessment. From experience, the committee discussed that whether to continue treatment or not would be based on the person's history or risk of developing chronic prostatitis, their current symptoms and any recent examination, urine and blood test results. Continued symptoms, such as fever or lower urinary tract symptoms (dysuria, frequency, urgency, or acute urinary retention) require ongoing treatment. Prostatitis (acute): antimicrobial prescribing (NG110

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

77. The management of urinary incontinence in women

and the 25 NICE Guideline Development Group 4.1 Guideline Review and Contextualisation Group 25 4.2 NICE Guideline Development Group 25 4.3 NICE Guideline contextualisation quality assurance team 26 4.4 National Collaborating Centre for Women’s and Children’s Health 26 About this guideline 26 Update information 26 Recommendations from NICE CG171 that have been contextualised 27 Strength of recommendations 33 UK versions of this guideline 33 Implementation 34 Your responsibility 34 Copyright 34 An online (...) of the woman’s child-bearing wishes in the counselling. 1.8.2 Offer invasive therapy (beyond botulinum toxin type A) for OAB and/or recurrent post surgical and complex cases of SUI symptoms only after an MDT review. 1.8.3 When recommending optimal management the MDT should take into account: • the woman’s preference • past management • comorbidities • treatment options (including further conservative management such as OAB medicine therapy). 1.8.4 The MDT for urinary incontinence should include (if available

2019 Best Practice Advocacy Centre New Zealand

78. Urinary incontinence in women

of the type of incontinence can help to elucidate the underlying aetiology and help to guide management. History and exam presence of risk factors involuntary urine leakage on effort, exertion, sneezing, or coughing involuntary urine leakage accompanied by or immediately preceded by urgency frequency of urination suggestive bladder diary vaginal bulge/pressure urogenital atrophy history of cognitive impairment back injury dysuria abnormal mental state pooling of urine in vaginal tract urethral discharge (...) or tenderness nocturia abnormal bulbocavernosus and wink reflexes weakened sphincter tone chronic heart failure diabetes mellitus excess fluid intake post-void dribbling haematuria history of recurrent urinary tract infections enlarged uterus faecal impaction loss of perineal sensation increasing age white ethnicity pregnancy obesity post-menopausal status functional impairment lower urinary tract symptoms long-term residence in a care facility dementia family history of incontinence childhood enuresis

2018 BMJ Best Practice

79. Urethritis

may be transmitted to infants from infected mothers, resulting in conjunctivitis, iritis, otitis media, or pneumonia. Higher morbidity in untreated women (10% to 40%) than in men (1% to 2%). Untreated gonococcal urethritis may disseminate, causing arthritis, meningitis, and endocarditis. Untreated non-gonococcal urethritis may present with complications such as reactive arthritis or infertility. Definition Urethritis is usually a sexually transmitted disease that typically presents with dysuria (...) irritation or itching dysuria orchalgia absence of epididymal tenderness and/or swelling absence of pelvic pain (women) absence of pustular or petechial rash absence of arthritis absence of eye inflammation age 15 to 24 years female sex men who have sex with men low socio-economic status new or multiple sex partners prior or current STD inconsistent condom use circumcision Diagnostic investigations Gram stain of urethral discharge and/or urine sediment nucleic acid amplification tests (NAAT) culture

2018 BMJ Best Practice

80. Overview of sexually transmitted diseases

adults of any age, as well as children. Most people with hepatitis B are asymptomatic, although some will present with complications such as cirrhosis, hepatocellular carcinoma, or liver failure. People from endemic areas, injection drug users, and those with high-risk sexual behaviours are at an increased risk. Serologic markers are essential in making the diagnosis and evaluating disease activity, including differentiating between people with acute and chronic infection and chronic asymptomatic (...) intercourse, is a common complaint among women. It may result from various causes, including inflammatory/infectious, mucosal, and musculoskeletal conditions. Dysuria is a common condition but can be challenging to diagnose, as it is often present in conjunction with other lower urinary tract symptoms. Although urinary tract infection is the most common cause, any infectious or inflammatory condition affecting the genitourinary system may cause dysuria. Contributors Authors BMJ Publishing Group

2018 BMJ Best Practice

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