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Recurrent Urinary Tract Infections   Dr. Mehul A. Shah M.D.(Ped.), DCH (Bom.), M.D.(USA) Diplomate of Am Board of Ped. Nephrology Consultant Pediatric Nephrologist Rainbow Children’s Hospital  Hyderabad
“ A lecture is the transfer of information from the lecturer’s notes to the student’s notes without passing thru the brains of either”
“ Conference is the confusion of one man multiplied by the number present” TOI
UTI:  Definition ,[object Object],[object Object],[object Object]
UTI: Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
UTI:  Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object]
UTI:  Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: Diagnosis Method of collection Quantitative culture- UTI present Suprapubic aspiration   Growth of urinary pathogens in any number  Catheterization in females or midstream void in circumcised males   Febrile infants or children usually have >/= 50 x 10 3  CFU/mL of a single urinary pathogen Midstream clean void   Symptomatic patients: usually >/= 10 5  CFU/mL of a single urinary tract pathogen   Bag specimen   Useful only if the culture is negative
UTI:  Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI ,[object Object],[object Object],[object Object]
UTI: Protective Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI:  Predisposing Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI:  Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
VUR & Reflux Nephropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recurrent UTI ,[object Object],[object Object],[object Object],[object Object]
[object Object]
 
VUR & Reflux Nephropathy International Classification of Vesico-Ureteral Reflux.
VUR & RN: Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VUR: Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VUR: Treatment ,[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object]
Dysfunctional voiding syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Dysfunctional voiding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dysfunctional voiding syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Hypercalciura ,[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: Work-up ,[object Object],[object Object],[object Object],[object Object]
UTI: Work-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI:  Work-up ,[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object]
UTI: prophylaxis ,[object Object],[object Object],[object Object],[object Object]
UTI: Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 3 ,[object Object],[object Object],[object Object],[object Object],[object Object]
VUR and Dysfunctional voiding Pre-treatment
VUR and Dysfunctional Voiding- Post-treatment
Message ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Message ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevent Renal Scars –  Prevent Hypertension, and ESRD
THANK YOU

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Recurrent Uti, Vijayawada

  • 1. Recurrent Urinary Tract Infections Dr. Mehul A. Shah M.D.(Ped.), DCH (Bom.), M.D.(USA) Diplomate of Am Board of Ped. Nephrology Consultant Pediatric Nephrologist Rainbow Children’s Hospital Hyderabad
  • 2. “ A lecture is the transfer of information from the lecturer’s notes to the student’s notes without passing thru the brains of either”
  • 3. “ Conference is the confusion of one man multiplied by the number present” TOI
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. UTI: Diagnosis Method of collection Quantitative culture- UTI present Suprapubic aspiration Growth of urinary pathogens in any number Catheterization in females or midstream void in circumcised males Febrile infants or children usually have >/= 50 x 10 3 CFU/mL of a single urinary pathogen Midstream clean void Symptomatic patients: usually >/= 10 5 CFU/mL of a single urinary tract pathogen Bag specimen Useful only if the culture is negative
  • 9.
  • 10.
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  • 20. VUR & Reflux Nephropathy International Classification of Vesico-Ureteral Reflux.
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  • 45. VUR and Dysfunctional voiding Pre-treatment
  • 46. VUR and Dysfunctional Voiding- Post-treatment
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  • 49. Prevent Renal Scars – Prevent Hypertension, and ESRD