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Probiotics prophylaxis in pyelonephritis infants with normal urinary tracts

World Journal of Pediatrics 2016年第4期12卷 425-429页

作者： Seung Joo Lee jihae cha Jung Won Lee Department of Pediatrics Ewha Women's University School of Medicine Kangnam Sacred Heart Hospital Hallym University School of Medicine

Background:Pyelonephritis in infants is considered as a major factor for the formation of renal *** prevent recurrent pyelonephritis and renal damage,prophylaxis is extremely *** aim of this study was to compare the effectiveness of probiotic and antibiotic prophylaxis or no-prophylaxis in infants with pyelonephritis and normal urinary ***:Altogether 191 infants,who were diagnosed with acute pyelonephritis,proven to have normal urinary tracts and followed up for 6 months on prophylaxis,were retrospectively *** to the types of prophylaxis,the infants were divided into three groups[probiotics(Lactobacillus species),antibiotics(trimethoprim/sulfamethoxazole,TMP/SMX),and noprophylaxis].The incidence of recurrent urinary tract infection(UTI)during 6 months after the development of pyelonephritis,main causative uropathogens,and its antimicrobial sensitivities were ***:The incidence of recurrent UTI in the probiotic group was 8.2%,which was significantly lower than 20.6%in the no-prophylaxis group(P=0.035)and was not significantly different from 10.0%of the antibiotic group(P=0.532).The significant difference between the probiotic and no-prophylaxis groups was seen only in male infants(P=0.032).The main causative organism of recurrent UTI was Escherichia coli(***),which was not different among the three groups(P=0.305).The resistance rate of *** to TMP/SMX was 100%in the antibiotic group,which was significantly higher than 25.0%in the probiotic group and 41.7%in the no-prophylaxis group(P=0.008).Conclusion:Probiotic prophylaxis was more effective in infants with pyelonephritis and normal urinary tract than in those with *** could be used as a natural alternative to antibiotic prophylaxis.

关键词： antibiotic prophylaxis antibiotic resistance probiotic prophylaxis pyelonephritis

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