Recurrent Uti, Vijayawada

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]

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]

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]

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

Recurrent Uti, Vijayawada

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