Management of constipation in preventing urinary tract infections in children: a concise review

Yıl 2019, Cilt: 5 Sayı: 2, 236 - 243, 04.03.2019

Marco Zaffanello Claudia Banzato Giorgio Piacentini

https://doi.org/10.18621/eurj.412280

Cited By: 4

Öz

Objectives: Constipation
is a common problem in children. Chronic
functional constipation (CFC) has been a claimed conditions that may increase
the risk for urinary tract infections (UTIs). Dysfunctional voiding (DV) and lower urinary tract
dysfunctions (LUTD) with chronic constipation are referred to dysfunctional
elimination syndromes (DES). The
aim of the present review is to look at the management of constipation in children
with CFC or DES in reducing the risk of recurrent UTIs.

Methods: We
performed a literature search on electronic databases (Pubmed and Scopus) for
relevant clinical trials investigating the results of one or more treatments
for children’s constipation in the term of UTIs recurrence.

Results: The search
strategy identified 20 valuable clinical trials. The studies are not
homogenous but showed an improvement in UTIs occurrences in children managed
for bowel dysfunction.

Conclusion: In
conclusion, children referred to a pediatric nephrologist for UTIs should
include an inquiry bowel habits and those with a positive assessment for bowel
dysfunction needs the collaboration with a pediatric gastroenterologist with a
multidisciplinary approach. 

Anahtar Kelimeler

Children, constipation, dysfunctional elimination syndromes, dysfunctional voiding, urinary tract infection

Kaynakça

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