Petcu Clara T, Stehr Emma, Isaac James P, Desai Devang
MD, BMedSc, Junior House Officer, Toowoomba Hospital, Qld.
BMBS, BN, Urology Senior House Officer, Toowoomba Hospital, Qld.
Aust J Gen Pract. 2021 Jul;50(7):458-464. doi: 10.31128/AJGP-03-21-5922.
Urinary tract infections (UTIs) affect up to 8.4% of girls and 1.7% of boys within their first six years of life. The rate of recurrence is as high as 30%, with the effects carrying long-term morbidity. Concomitant pathology such as vesicoureteric reflux (VUR) or bowel and bladder dysfunction (BBD) can pose further diagnostic and management challenges in the primary care setting.
The aim of this article is to discuss the approach to diagnosis and management of recurrence and strategies to prevent it, with additional information regarding patients with VUR and BBD.
Management of recurrent UTIs requires family-centred care, with conservative, pharmacological and surgical options effective across different patient groups. In situations that exceed the capacity of local services, referral to paediatric subspecialties should be considered to assist in further investigation of recurrent cystitis-like symptoms.
尿路感染（UTIs）在女童出生后的头六年中发病率高达8.4%，在男童中为1.7%。复发率高达30%，其影响会导致长期发病。诸如膀胱输尿管反流（VUR）或肠道与膀胱功能障碍（BBD）等伴随病变会在初级保健环境中带来进一步的诊断和管理挑战。
本文旨在探讨复发性尿路感染的诊断和管理方法以及预防策略，并提供有关VUR和BBD患者的更多信息。
复发性尿路感染的管理需要以家庭为中心的护理，保守、药物和手术选择对不同患者群体均有效。在超出当地服务能力的情况下，应考虑转诊至儿科专科，以协助进一步调查复发性膀胱炎样症状。
