Antibiotic Prophylaxis and Recurrent Urinary Tract Infection in Children

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Recommendations • Use of TMPSMX in children at high risk for infection ▫ Females ▫ VUR ▫ Recurrent UTI • Not routinely recommended in children with a single symptomatic UTI • Not recommended in children with congenital hydronephrosis or siblings with reflux, but no UTI
Conclusions • Long term, lowdose antibiotic use was associated with small but significant reduction in the absolute risk of symptomatic UTI in predisposed children. • May reduce the likelihood that antibiotics will be required for other infections.
Page 1 and 2: Antibiotic Prophylaxis and Recurren
Page 3 and 4: Outline • Introduction • Method
Page 5 and 6: Sample of articles in past on ppx:
Page 8 and 9: • Essentially, there are no RCT r
Page 10 and 11: Methods • Four centers in Austral
Page 12 and 13: Inclusion Criteria • Children who
Page 14 and 15: Patient enrollment
Page 16 and 17: Imaging • Not required, performed
Page 18 and 19: Adherence • Assessed at 3 month i
Page 20 and 21: Primary and Secondary outcomes •
Page 22 and 23: Statistical Analysis • UTI ▫ Ti
Page 24 and 25: Statistical Analysis • Cox model
Page 26: Patient Characteristics
Page 29 and 30: Time to symptomatic UTI for all pat
Page 31 and 32: Effect of antibiotics on risk for s
Page 33 and 34: Time to symptomatic UTI
Page 35 and 36: Discussion • The benefit of thera
Page 37 and 38: Recent changes • Five randomized,
Page 39: Limitations • Study not powered t

Antibiotic Prophylaxis and Recurrent Urinary Tract Infection in Children

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