Clean, intermittent catheterization of infants with neurogenic bladder
Clean, intermittent catheterization was instituted in 38 babies with myelodysplasia who were thought to be at risk for upper urinary tract deterioration because of neurogenic bladder dysfunction. There were 19 patients 2 weeks to 12 months of age, 11 were 1 to 2 years of age, and 8 were older than 2...
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| Veröffentlicht in: | Pediatrics (Evanston) 1989-07, Vol.84 (1), p.78-82 |
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| container_title | Pediatrics (Evanston) |
| container_volume | 84 |
| creator | JOSEPH, D. B BAUER, S. B COLODNY, A. H MANDELL, J RETIK, A. B |
| description | Clean, intermittent catheterization was instituted in 38 babies with myelodysplasia who were thought to be at risk for upper urinary tract deterioration because of neurogenic bladder dysfunction. There were 19 patients 2 weeks to 12 months of age, 11 were 1 to 2 years of age, and 8 were older than 2 years. Effectiveness of clean, intermittent catheterization was determined by maintenance of upper urinary tract stability. Upper urinary tracts improved or remained stable in 13 of 16 infants (81%) with reflux and 16 of 18 infants (89%) with detrusor-sphincter dyssynergia. Bacteriuria was present in 16 (42%), with only 2 infants (5%) having a febrile episode; no infant required hospitalization because of urinary tract infections. No further complications were identified in infants who were cleanly and intermittently catheterized. Most families found clean, intermittent catheterization of their infants easy to master and not stressful, and their children adjusted to it at an early age. |
| doi_str_mv | 10.1542/peds.84.1.78 |
| format | Article |
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B ; BAUER, S. B ; COLODNY, A. H ; MANDELL, J ; RETIK, A. B</creator><creatorcontrib>JOSEPH, D. B ; BAUER, S. B ; COLODNY, A. H ; MANDELL, J ; RETIK, A. B</creatorcontrib><description>Clean, intermittent catheterization was instituted in 38 babies with myelodysplasia who were thought to be at risk for upper urinary tract deterioration because of neurogenic bladder dysfunction. There were 19 patients 2 weeks to 12 months of age, 11 were 1 to 2 years of age, and 8 were older than 2 years. Effectiveness of clean, intermittent catheterization was determined by maintenance of upper urinary tract stability. Upper urinary tracts improved or remained stable in 13 of 16 infants (81%) with reflux and 16 of 18 infants (89%) with detrusor-sphincter dyssynergia. Bacteriuria was present in 16 (42%), with only 2 infants (5%) having a febrile episode; no infant required hospitalization because of urinary tract infections. No further complications were identified in infants who were cleanly and intermittently catheterized. Most families found clean, intermittent catheterization of their infants easy to master and not stressful, and their children adjusted to it at an early age.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.84.1.78</identifier><identifier>PMID: 2740179</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Bacteriuria - microbiology ; Biological and medical sciences ; Child, Preschool ; Evaluation Studies as Topic ; Female ; Home Nursing ; Humans ; Infant ; Infant, Newborn ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Neural Tube Defects - complications ; Urinary Bladder ; Urinary Bladder, Neurogenic - etiology ; Urinary Bladder, Neurogenic - microbiology ; Urinary Bladder, Neurogenic - therapy ; Urinary Catheterization ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. 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Bacteriuria was present in 16 (42%), with only 2 infants (5%) having a febrile episode; no infant required hospitalization because of urinary tract infections. No further complications were identified in infants who were cleanly and intermittently catheterized. Most families found clean, intermittent catheterization of their infants easy to master and not stressful, and their children adjusted to it at an early age.</description><subject>Bacteriuria - microbiology</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Home Nursing</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Neural Tube Defects - complications</subject><subject>Urinary Bladder</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Bladder, Neurogenic - microbiology</subject><subject>Urinary Bladder, Neurogenic - therapy</subject><subject>Urinary Catheterization</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Vesico-Ureteral Reflux - etiology</subject><subject>Vesico-Ureteral Reflux - microbiology</subject><subject>Vesico-Ureteral Reflux - therapy</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LxDAQhYMouv64eRV6EE_bddImTXqUxVVhwYuewzSdaqSbrkmK6F9vFxdPw-P7eAyPsUsOCy5FcbulNi60WPCF0gdsxqHWuSiUPGQzgJLnAkCesNMYPwBASFUcs-NCCeCqnrHVsif088z5RGHjUiKfMovpnabsfjC5wWdDN_EOfYrZl0vvmacxDG_knc2aHtuWwjk76rCPdLG_Z-x1df-yfMzXzw9Py7t1bksuU06d0Ail0tAIJK1RNRUAVqWSbYNatSgkioaK6W9bUqHB1oSNFWXHi4ZUecZu_nq3YfgcKSazcdFS36OnYYxG1SBFzfUkzv9EG4YYA3VmG9wGw7fhYHazmd1sRgvDjdrpV_vesdlQ-y_vd5r49Z5jtNh3Ab118V-rpKqKSpW_MCN2jA</recordid><startdate>19890701</startdate><enddate>19890701</enddate><creator>JOSEPH, D. B</creator><creator>BAUER, S. B</creator><creator>COLODNY, A. H</creator><creator>MANDELL, J</creator><creator>RETIK, A. 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B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-ef48a03780b4ae88a7b600a6375dba87da45a4be2031c3e280c9eabc43f12be73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Bacteriuria - microbiology</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Home Nursing</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Neural Tube Defects - complications</topic><topic>Urinary Bladder</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Bladder, Neurogenic - microbiology</topic><topic>Urinary Bladder, Neurogenic - therapy</topic><topic>Urinary Catheterization</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Vesico-Ureteral Reflux - etiology</topic><topic>Vesico-Ureteral Reflux - microbiology</topic><topic>Vesico-Ureteral Reflux - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JOSEPH, D. B</creatorcontrib><creatorcontrib>BAUER, S. B</creatorcontrib><creatorcontrib>COLODNY, A. H</creatorcontrib><creatorcontrib>MANDELL, J</creatorcontrib><creatorcontrib>RETIK, A. B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JOSEPH, D. B</au><au>BAUER, S. B</au><au>COLODNY, A. H</au><au>MANDELL, J</au><au>RETIK, A. B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clean, intermittent catheterization of infants with neurogenic bladder</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1989-07-01</date><risdate>1989</risdate><volume>84</volume><issue>1</issue><spage>78</spage><epage>82</epage><pages>78-82</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Clean, intermittent catheterization was instituted in 38 babies with myelodysplasia who were thought to be at risk for upper urinary tract deterioration because of neurogenic bladder dysfunction. There were 19 patients 2 weeks to 12 months of age, 11 were 1 to 2 years of age, and 8 were older than 2 years. Effectiveness of clean, intermittent catheterization was determined by maintenance of upper urinary tract stability. Upper urinary tracts improved or remained stable in 13 of 16 infants (81%) with reflux and 16 of 18 infants (89%) with detrusor-sphincter dyssynergia. Bacteriuria was present in 16 (42%), with only 2 infants (5%) having a febrile episode; no infant required hospitalization because of urinary tract infections. No further complications were identified in infants who were cleanly and intermittently catheterized. Most families found clean, intermittent catheterization of their infants easy to master and not stressful, and their children adjusted to it at an early age.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>2740179</pmid><doi>10.1542/peds.84.1.78</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Bacteriuria - microbiology Biological and medical sciences Child, Preschool Evaluation Studies as Topic Female Home Nursing Humans Infant Infant, Newborn Male Medical sciences Nephrology. Urinary tract diseases Neural Tube Defects - complications Urinary Bladder Urinary Bladder, Neurogenic - etiology Urinary Bladder, Neurogenic - microbiology Urinary Bladder, Neurogenic - therapy Urinary Catheterization Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Vesico-Ureteral Reflux - etiology Vesico-Ureteral Reflux - microbiology Vesico-Ureteral Reflux - therapy |
| title | Clean, intermittent catheterization of infants with neurogenic bladder |
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