Abstract:
Children with a neurogenic bladder are at risk of developing recurrent urinary tract infections and long-term kidney failure. Due to an altered lower urinary tract, children may be overtreated for simple bacteriuria or undertreated for a potentially severe urinary tract infection. This group of patients represent high users of healthcare, and are at risk of colonization and development of antibiotic resistance. Bladder washouts with non-antibiotic electrochemically activated solutions are a potential new prophylactic option for patients with bladder dysfunction when clean intermittent catheterization has resulted in chronic bacteriuria.
摘要:
患有神经源性膀胱的儿童有发生复发性尿路感染和长期肾衰竭的风险。由于下尿路改变,儿童可能因单纯性菌尿而过度治疗,或因潜在的严重尿路感染而过度治疗。这组患者代表了医疗保健的高使用者,并有定植和发展抗生素耐药性的风险。当清洁间歇性导尿导致慢性菌尿时,用非抗生素电化学活化溶液冲洗膀胱是膀胱功能障碍患者的潜在新预防选择。