Affiliation:
1. Kazan State Medical Academy - Branch of the Russian Medical Academy of Continuing Professional Education
Abstract
The review examines the issues of dispensary observation, which is the most critical stage in care for patients with urinary tract infection (UTI). It includes periodic examination and preventive treatment of children after acute, recurrent and chronic UTI. The purpose of dispensary observation is the timely detection and/or prevention of complications and exacerbations of diseases, their prevention, effective rehabilitation of the urinary system after a previous infection at the outpatient stage. The schemes of antibacterial prophylaxis from the standpoint of Russian and foreign clinical guidelines are presented. The issues of primary and secondary prevention of UTI are discussed. The article considers the practical issues of dispensary observation of children with a previous UTI at the outpatient stage. The schemes of antibacterial prophylaxis from the standpoint of Russian and foreign clinical recommendations are presented. The issues of primary and secondary prevention of UTI are discussed.
Publisher
National Medical Research Center for Childrens Health
Reference28 articles.
1. Foxman B. Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infect. Dis. Clin. North Am. 2014; 28(1): 1–13. https://doi.org/10.1016/j.idc.2013.09.003
2. Menovshchikova L.B., Rudin Yu.E., Garmanova T.N., Shaderkina V.A. Clinical Recommendations for Pediatric Urology-Andrology [Klinicheskie rekomendatsii po detskoy urologii-andrologii]. Moscow: Pero; 2015. (in Russian)
3. Heldwein F.L., Loeb S., Wroclawski M.L., Sridhar A.N., Carneiro A., Lima F.S., et al. A systematic review on guidelines and recommendations for urology standard of care during the COVID-19 pandemic. Eur. Urol. Focus. 2020; 6(5): 1070–85. https://doi.org/10.1016/j.euf.2020.05.020
4. Holm A., Siersma V., Bjerrum L., Cordoba G. Availability of point-of-care culture and microscopy in general practice – does it lead to more appropriate use of antibiotics in patients with suspected urinary tract infection? Eur. J. Gen. Pract. 2020; 26(1): 175–81. https://doi.org/13814788.2020.1853697
5. Craig J.C., Simpson J.M., Williams G.J., Lowe A., Reynolds G.J., McTaggart SJ., et al. Antibiotic prophylaxis and recurrent urinary tract infection in children. N. Engl. J. Med. 2009; 361(18): 1748–59.