The use of steroid cream for physiologic phimosis in male infants with a history of UTI and normal renal ultrasound is associated with decreased risk of recurrent UTI

Chen, C.J.; Satyanarayan, Arthi; Schlomer, Bruce J.

doi:10.1016/j.jpurol.2019.06.018

Cited by 15 publications

(10 citation statements)

References 23 publications

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“…Prepuce: Use of steroid cre `me in the presence of physiologic phimosis in boys with UTI significantly reduced recurrent UTIs [50]. In newborns with an anatomical abnormality circumcision may also prevent UTIs [51e53].…”

Section: Preventative Measuresmentioning

confidence: 99%

Update of the EAU/ESPU guidelines on urinary tract infections in children

Hoen

Bogaert

Radmayr

et al. 2021

Journal of Pediatric Urology

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Section: Preventative Measuresmentioning

confidence: 99%

Update of the EAU/ESPU guidelines on urinary tract infections in children

Hoen

Bogaert

Radmayr

et al. 2021

Journal of Pediatric Urology

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“…27 Phimosis is regarded as a risk factor for UTI. 28,29 Bacteria could colonize the prepuce cavity and cause retrograde infection. 30 Previous studies revealed that surgery time was correlated with postoperative UTI incidence, 31,32 but our results indicated no correlation between operation time and UTI incidence.…”

Section: Discussionmentioning

confidence: 99%

“… 27 Phimosis is regarded as a risk factor for UTI. 28 , 29 Bacteria could colonize the prepuce cavity and cause retrograde infection. 30 …”

Section: Discussionmentioning

confidence: 99%

Pathogen distribution and risk factors for urinary tract infection in infants and young children with retained double-J catheters

et al. 2021

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Objectives To investigate the pathogens and potential risk factors for urinary tract infection (UTI) in patients with retained double-J catheters (DJCs). Methods In total, 107 infants and young children with DJCs were included in this retrospective analysis. Patients were included in the infection group (n = 30) or non-infection group (n = 77), according to UTI presence or absence. The species and characteristics of pathogens were investigated, and the clinical features of the patients were recorded for further analysis. Results Gram-negative bacilli were the most common causative pathogens (69.2%), among which Escherichia coli was most frequent (38.5%). The second most common causative pathogens were Gram-positive cocci (28.2%), among which Enterococcus faecalis was most frequent (10.3%). UTIs among patients in this study were associated with the following factors: catheter retention (long-term) (odds ratio [OR] = 2.514, 95% confidence interval [CI] = 1.176–5.373), sex (male) (OR = 2.966, 95% CI = 1.032–8.529), DJC retention (long-term) (OR = 1.869, 95% CI = 1.194–2.926), and DJC number (unilateral) (OR = 0.309, 95% CI = 0.103–0.922). Conclusions Infants and young children with DJCs were likely to experience UTIs, mainly caused by Gram-negative bacilli. Long-term catheter retention or DJC retention, male sex, and bilateral DJC retention were risk factors for UTI.

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“…Steroid cream treatment leading to phimosis resolution was associated with substantial reduction in recurrent UTI in uncircumcised Hispanic infants in Dallas. 66 Thus, taken together, phimosis is a relatively minor condition that can have serious morbidity and potentially fatal consequences.…”

Section: Discussionmentioning

confidence: 99%