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首页> 外文期刊>BJU international >Vesico-ureteric reflux (VUR) management and screening patterns: Are paediatric urologists following the 2010 American Urological Association (AUA) guidelines?
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Vesico-ureteric reflux (VUR) management and screening patterns: Are paediatric urologists following the 2010 American Urological Association (AUA) guidelines?

机译:膀胱输尿管反流(VUR)管理和筛查模式:儿科泌尿科医师是否遵循2010年美国泌尿科协会(AUA)指南?

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摘要

Objective To evaluate the current practice patterns of vesico-ureteric reflux (VUR) management and screening among paediatric urologists and their relationship with the current American Urological Association (AUA) guidelines in managing and treating VUR. Subjects and Methods A 17-question survey was sent out to 476 paediatric urologists who are members of the Society for Pediatric Urology (SPU). In all, 133 respondents answered the survey and results were included for all questions. Results Paediatric urologists who were surveyed were consistent with the 2010 AUA guidelines in the initial evaluation of children with VUR, continuous antibiotic prophylaxis for the child aged < or >1 year, and follow-up evaluation in children with VUR. Most paediatric urologists do not obtain a serum creatinine on initial screening of children with VUR. The new guidelines address screening of siblings of patients with VUR and most paediatric urologists were consistent with these recommendations. Almost one third of responders screened all neonates diagnosed with prenatal hydronephrosis regardless of clinical history or findings on imaging despite the recommendations of the new guidelines. Conclusion We conclude that based on our present sample, most paediatric urologists follow the 2010 AUA guidelines on VUR management.
机译:目的评估目前在儿科泌尿科医师中进行膀胱输尿管反流(VUR)管理和筛查的实践模式,以及它们与当前美国泌尿外科协会(AUA)指导方针在治疗和治疗VUR中的关系。受试者与方法向476名儿科泌尿科泌尿科医师发送了一个由17个问题组成的调查问卷。共有133位受访者回答了调查,所有问题的结果都包括在内。结果接受调查的儿科泌尿科医师在对VUR儿童进行初次评估,对1岁或1岁以上儿童进行连续抗生素预防以及对VUR儿童进行随访评估时均符合2010 AUA指南。大多数儿童泌尿科医师在初筛VUR儿童时并未获得血清肌酐。新指南针对VUR患者兄弟姐妹的筛查,大多数儿科泌尿科医师与这些建议一致。尽管有新指南的建议,几乎有三分之一的应答者筛查了所有诊断为产前肾积水的新生儿,无论其临床病史或影像学发现如何。结论我们得出的结论是,根据我们目前的样本,大多数儿科泌尿科医师遵循2010年AUA的VUR管理指南。

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