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Antibiotic Prophylaxis in Pediatric Urology: An Update

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Abstract

This article discusses the use of antibiotic prophylaxis in the treatment of three common conditions encountered by the pediatric urologist: 1) children with urinary infection and structurally and neurologically normal urinary tracts; 2) children with vesicoureteral reflux (VUR); and 3) children with prenatally diagnosed ureteropelvic and ureterovesical obstruction. The literature remains unclear and contradictory. Additional significant risk factors for recurrent infection are age, circumcision status in boys, and toileting function. The evidence for the use of prophylaxis is best in those with VUR, although not everyone with VUR must be on medication. In the absence of definitive evidence, the clinician must individualize the treatment of each patient and family.

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Authors and Affiliations

  1. Women & Children’s Hospital of Buffalo, Department of Pediatric Urology, 219 Bryant Street, Buffalo, NY, 14222, USA

    Saul P. Greenfield

  2. State University of New York at Buffalo, School of Medicine & Biomedical Sciences, Buffalo, NY, USA

    Saul P. Greenfield

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  1. Saul P. Greenfield
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Correspondence to Saul P. Greenfield.

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Greenfield, S.P. Antibiotic Prophylaxis in Pediatric Urology: An Update. Curr Urol Rep 12, 126–131 (2011). https://doi.org/10.1007/s11934-010-0164-y

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