Management of constipation in preventing urinary tract infections in children: a concise review

Authors : Marco ZAFFANELLO, Claudia BANZATO, Giorgio PİACENTİNİ

Pages : 236-243

Doi:10.18621/eurj.412280

View : 17 | Download : 15

Publication Date : 2019-03-04

Article Type : Research Paper

Abstract :Objectives: Constipation is a common problem in children. Chronic functional constipation insert ignore into journalissuearticles values(CFC); has been a claimed conditions that may increase the risk for urinary tract infections insert ignore into journalissuearticles values(UTIs);. D ysfunctional voiding insert ignore into journalissuearticles values(DV); and lower urinary tract dysfunctions insert ignore into journalissuearticles values(LUTD); with chronic constipation are referred to dysfunctional elimination syndromes insert ignore into journalissuearticles values(DES);. The aim of the present review is to look at the management of constipation in children with CFC or DES in reducing the risk of recurrent UTIs. Methods: We performed a literature search on electronic databases insert ignore into journalissuearticles values(Pubmed and Scopus); for relevant clinical trials investigating the results of one or more treatments for children’s constipation in the term of UTIs recurrence. Results: The search strategy identified 20 valuable clinical trials. The studies are not homogenous but showed an improvement in UTIs occurrences in children managed for bowel dysfunction. Conclusion: In conclusion, children referred to a pediatric nephrologist for UTIs should include an inquiry bowel habits and those with a positive assessment for bowel dysfunction needs the collaboration with a pediatric gastroenterologist with a multidisciplinary approach. 
Keywords : Children, constipation, dysfunctional elimination syndromes, dysfunctional voiding, urinary tract infection