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Vesicoureteral Reflux - Risk Factors for Compliance with Antibiotic Prophylaxis

Purpose: To evaluate a pediatric patient who is taking prophylactic antibiotics for vesicoureteral reflux (VUR) for factors influencing compliance.

Description

Copp et al identified factors associated with noncompliance in children taking prophylactic antibiotics for vesicoureteral reflux (VUR). Failure to take the prophylactic antibiotics is a reason for recurrent urinary tract infections (UTI) in these patients. The authors are from Stanford University and Children's Hospital Boston.


 

Factors associated with compliance:

(1) younger age (age <= 5 years of age)

(2) moderate to severe disease

(3) 1 or more urologist visits in the past year

(4) 1 or more hospitalizations in the past year

(5) 2 or more changes in the antibiotic regimen in the past year

 

where:

• The change in antibiotic visits may correlate with contact with healthcare providers or more severe disease.

 

Only 40% of patients prescribed prophylactic antibiotics were compliant.

 


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Specialty

Objective

ICD-10