Title |
Primary vesicoureteral reflux; what have we learnt from the recently published randomized, controlled trials?
|
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Published in |
Pediatric Nephrology, August 2018
|
DOI | 10.1007/s00467-018-4045-9 |
Pubmed ID | |
Authors |
Eduardo H. Garin |
Abstract |
In recent years, progress has been made on understanding the relationship between vesicoureteral reflux (VUR) and urinary tract infection (UTI). The findings on recent prospective, randomized, controlled studies have questioned the conventional VUR clinical significance and, therefore, have challenged the traditional diagnostic and therapeutic recommendations. These new studies have redefined the pathogenic role of vesicoureteral reflux in UTI as well as have disputed the routine use of urinary antibiotic prophylaxis to prevent UTI and renal damage in VUR patients. The time to overinvestigate and treat the vast majority of otherwise healthy children who have an uncomplicated UTI with long-term antibiotic prophylaxis seems to be over. Is there a role of severe VUR in the development of chronic renal disease and renal failure? New ideas are needed to answer these questions with the goal to avoid repeating past mistakes when therapeutic choices were based on expert opinions rather than facts. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Mexico | 3 | 16% |
Colombia | 3 | 16% |
United States | 2 | 11% |
Iraq | 1 | 5% |
Bolivia, Plurinational State of | 1 | 5% |
Ecuador | 1 | 5% |
Canada | 1 | 5% |
Philippines | 1 | 5% |
Unknown | 6 | 32% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 15 | 79% |
Practitioners (doctors, other healthcare professionals) | 2 | 11% |
Scientists | 1 | 5% |
Science communicators (journalists, bloggers, editors) | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 46 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 7 | 15% |
Student > Bachelor | 7 | 15% |
Student > Ph. D. Student | 5 | 11% |
Researcher | 3 | 7% |
Professor > Associate Professor | 3 | 7% |
Other | 8 | 17% |
Unknown | 13 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 19 | 41% |
Psychology | 2 | 4% |
Nursing and Health Professions | 2 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 5 | 11% |
Unknown | 16 | 35% |