抗生素英文课件精品—— Diagnosis and Management of VUR after first UTI.pptVIP

Potential Harms and Costs VCUG and RNC are invasive and cause physical discomfort and psychological distress. VCUG involves exposure to ionizing radiation. Diagnosis of VUR and perceived risk of renal scarring causes anxiety to patient and family. Prophylactic antibiotics contribute to antimicrobial resistance in the patient and the community. Recurrent UTIs with bacteria resistant to Cefotaxime = 27% in children receiving prophylactic antibiotics v. 3% in children not receiving them (RR=9.9; 95% CI [4-24.5]). (Lutter et al., Antibiotic resistance patterns in children hospitalized for UTIs,