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Pediatr Nephrol. 2017 Oct 3. doi: 10.1007/s00467-017-3799-9. [Epub ahead of print]

Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children's Continence Society.

Author information

1
Department of Urology, Taipei Tzu-Chi Hospital, and Buddhist Tzu Chi University, Taipei, Taiwan. urolyang@tzuchi.com.tw.
2
Department of Urology, Taipei Tzu-Chi Hospital, and Buddhist Tzu Chi University, Taipei, Taiwan.
3
Department of Urology, The Hospital for Sick Children, Toronto, ON, Canada.
4
Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines.
5
Department of Urology, Boston Children's Hospital, Boston, MA, USA.
6
Department of Paediatric Nephrourology, Evelina Children's Hospital, London, UK.
7
Department of Pediatrics, The Queen Silvia Children's Hospital, Gothenburg, Sweden.
8
Department of Urology, Ghent University Hospital, Ghent, Belgium.
9
Department of Pediatrics, Aarhus University, Aarhus, Denmark.
10
Department of Urology, Bambino Gesù Children's Hospital of Rome, Rome, Italy.
11
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
12
Department of Pediatrics, Rio de Janeiro State University, Rio de Janeiro, Brazil.
13
University Medical Centre-Wilhelmina Kinderziekenhuis, Utrecht, Netherlands.
14
Department of Urology, St Louis Children's Hospital, St. Louis, MO, USA.

Abstract

BACKGROUND:

We present a consensus view from the International Children's Continence Society (ICCS) on the evaluation and management of bladder bowel dysfunction (BBD) in children with urinary tract infection (UTI). The statement aims to highlight the importance of BBD in the development and recurrence of childhood UTI and its management to reduce its associated morbidity and sequelae.

METHODS:

A systematic literature search was done on PubMed, Embase, and Scopus databases until August 15, 2016. Relevant publications concerning BBD and its relationship with UTI among children were reviewed and aggregated for statements of recommendation. Discussion by the ICCS Board and a multi-disciplinary core group of authors resulted in a document available on its website for all ICCS members to review. Insights and feedback were considered with consensus and agreement reached to finalize this position statement.

RESULTS:

BBD in children with UTI is summarized. Details regarding epidemiology, pathophysiology, and recommendations for general and family practitioners and pediatricians relating to the evaluation and management of this condition are presented.

CONCLUSIONS:

This document serves as the position statement from ICCS, based on literature review and expert opinion providing our current understanding of BBD in children with UTI.

KEYWORDS:

Bladder bowel dysfunction; Consensus statement; Urinary tract infection

PMID:
28975420
DOI:
10.1007/s00467-017-3799-9

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