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Clinical dilemmas

Urinary Tract Infection: Clinical Perspectives on Urinary Tract Infection, Page: 25-32
2013
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Book Chapter Description

Pregnancy poses its own specific problems with regard to urinary infections, in terms of both treatment and prophylaxis. Certain antibiotics are safe in certain trimesters, and there is also evidence for the use of antibiotics in the management of asymptomatic bacteriuria during pregnancy, particularly to reduce the frequency of pyelonephritis and its sequelae. Similarly the treatment of UTIs in childhood presents different challenges, particularly as the sequelae of this can present later in adulthood, and there are conditions such as phimosis and vesicoureteric reflux, the timing of the treatment of which can lead to controversies in management. Specialist care is recommended in these cases, and close follow-up through adolescence into adulthood would be beneficial.

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