Recurrent urinary tract infection – benefit of the diagnosis and treatment of voiding dysfunction

Česká verzia

Authors: H. Flögelová ¹; L. Stašková ¹; K. Michálková ²
Authors place of work: Dětská klinika Fakultní nemocnice a Lékařská fakulta Univerzity Palackého, Olomouc ¹; Radiologická klinika Fakultní nemocnice a Lékařská fakulta Univerzity Palackého, Olomouc ²
Published in the journal: Čes-slov Pediat 2017; 72 (1): 11-14.
Category:

Toto sdělení bylo prezentováno jako přednáška na konferencích: 37. pracovní dny dětské nefrologie a 27. výroční setkání dětských urologů 19.–21. 5. 2016 v Olomouci a 9. Slovenská konferencia pediatrickej nefrológie 2.–3 .6. 2016 v Trenčianských Tepliciach.

Summary

The risk factors for recurrent urinary tract infection vary by age and thus, the diagnostic and treatment approach should vary accordingly. Whereas the main risk factor in children under 2 years of age is vesicoureteral reflux, in girls able to control their voiding (older than 3 years of age), recurrent urinary tract infection is more frequently caused by lower urinary tract dysfunction. At this age, noninvasive urodynamic testing is preferred to voiding cystourethrography. The former comprises filling in an intake and voiding diary for 2–4 days, measuring bladder wall thickness and post-void residual volume, and uroflowmetry. Based on noninvasive urodynamic testing results, daily measures and/or medication therapy are recommended.

Key words:
recurrent urinary tract infection, voiding dysfunction, intake and voiding diary, uroflowmetry, post-void residual volume

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