Antibiotic resistance in pediatric urology
Antibiotics are a mainstay in the treatment of bacterial infections, though their use is a primary risk factor for the development of antibiotic resistance. Antibiotic resistance is a growing problem in pediatric urology as demonstrated by increased uropathogen resistance. Lack of urine testing, non...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2014-04-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/1756287213511508 |
| _version_ | 1818997121266745344 |
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| author | Rachel S. Edlin Hillary L. Copp |
| author_facet | Rachel S. Edlin Hillary L. Copp |
| author_sort | Rachel S. Edlin |
| collection | DOAJ |
| description | Antibiotics are a mainstay in the treatment of bacterial infections, though their use is a primary risk factor for the development of antibiotic resistance. Antibiotic resistance is a growing problem in pediatric urology as demonstrated by increased uropathogen resistance. Lack of urine testing, nonselective use of prophylaxis, and poor empiric prescribing practices exacerbate this problem. This article reviews antibiotic utilization in pediatric urology with emphasis on modifiable practice patterns to potentially help mitigate the growing rates of antibiotic resistance. This includes urine testing to only treat when indicated and tailor broad-spectrum therapy as able; selective application of antibiotic prophylaxis to patients with high-grade vesicoureteral reflux and hydronephrosis with counseling regarding the importance of compliance; and using local antiobiograms, particularly pediatric-specific antiobiograms, with inpatient versus outpatient data. |
| first_indexed | 2024-12-20T21:40:36Z |
| format | Article |
| id | doaj.art-c04584b0f1d1491e800dca641d6d36cf |
| institution | Directory Open Access Journal |
| issn | 1756-2872 1756-2880 |
| language | English |
| last_indexed | 2024-12-20T21:40:36Z |
| publishDate | 2014-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj.art-c04584b0f1d1491e800dca641d6d36cf2022-12-21T19:25:49ZengSAGE PublishingTherapeutic Advances in Urology1756-28721756-28802014-04-01610.1177/1756287213511508Antibiotic resistance in pediatric urologyRachel S. EdlinHillary L. CoppAntibiotics are a mainstay in the treatment of bacterial infections, though their use is a primary risk factor for the development of antibiotic resistance. Antibiotic resistance is a growing problem in pediatric urology as demonstrated by increased uropathogen resistance. Lack of urine testing, nonselective use of prophylaxis, and poor empiric prescribing practices exacerbate this problem. This article reviews antibiotic utilization in pediatric urology with emphasis on modifiable practice patterns to potentially help mitigate the growing rates of antibiotic resistance. This includes urine testing to only treat when indicated and tailor broad-spectrum therapy as able; selective application of antibiotic prophylaxis to patients with high-grade vesicoureteral reflux and hydronephrosis with counseling regarding the importance of compliance; and using local antiobiograms, particularly pediatric-specific antiobiograms, with inpatient versus outpatient data.https://doi.org/10.1177/1756287213511508 |
| spellingShingle | Rachel S. Edlin Hillary L. Copp Antibiotic resistance in pediatric urology Therapeutic Advances in Urology |
| title | Antibiotic resistance in pediatric urology |
| title_full | Antibiotic resistance in pediatric urology |
| title_fullStr | Antibiotic resistance in pediatric urology |
| title_full_unstemmed | Antibiotic resistance in pediatric urology |
| title_short | Antibiotic resistance in pediatric urology |
| title_sort | antibiotic resistance in pediatric urology |
| url | https://doi.org/10.1177/1756287213511508 |
| work_keys_str_mv | AT rachelsedlin antibioticresistanceinpediatricurology AT hillarylcopp antibioticresistanceinpediatricurology |