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Urinary Tract Infection and Bladder Dysfunction in Children
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Sungchan Park, Kun Suk Kim
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Korean J Urogenit Tract Infect Inflamm 2008;3(2):149-161. Published online October 31, 2008
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 Abstract
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- Recognition that bacteriuria may cause renal parenchymal and functional loss has prompted recommendations for rapid diagnosis and evaluation of urinary tract infection (UTI). Rapid recognition of a UTI and rapid and appropriate treatment with antibiotics are important to prevent renal damage. The goal of UTIs management in children is based on identifying and modifying factors that may increase risk of renal parenchymal and functional loss. Various factors for UTI in children appear to be distinct for each individual and should be evaluated to find associated disease. Symptoms of nocturnal and diurnal incontinence are common in children with recurrent UTIs. Urodynamic study in neurologically normal children with recurrent UTI and incontinence has shown abnormal cystometry and voiding pattern. Bacteriuria or constipation may provoke abnormal detrusor-sphincter activity or vice versa. There is an important relationship between constipation, detrusor instability, reflux, UTI, and enuresis. Overall approach and management in children with UTI and bladder dysfunction should therefore be needed.
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