Nelson, C. P., Finkelstein, J. A., Logvinenko, T., & Schuster, M. A. (2016). Incidence of urinary tract infection among siblings of children with vesicoureteral reflux. Academic Pediatrics, 16(5), 489-
495.
Summary Vesicoureteral reflux (VUR) among the general population is estimated to be 1-2 %. Siblings of patients with vesicoureteral reflux is estimated to be around 32% and up to 46% among siblings below two years old. Pediatric urologist indicated in a 1998 survey that sibling screening for vesicoureteral reflux is common practice. The benefit of sibling screening is to prevent urinary tract infections by identifying VUR, initiating antimicrobial prophylaxis, or performing surgery to correct the problem. The incidence of urinary …show more content…
Dr Finkelstein and Dr Schuster are associated with the Department of Pediatrics at Boston Children’s Hospital. Dr Logvinenko is from the Clinical Research Center at Boston Children’s Hospital. This would indicate that all four authors are well qualified in the subject matter of this study. I found some of the information to be confusing while reading the article, the results and discussion were however clear and concise. I agree with the findings and believe invasive testing on children who have no clinical symptoms or illness is unnecessary. Limitations of the study were identified as use of administrative data sources, such as loss to follow-up, clerical errors, incorrect patient identification and miscoding. Bias could be identified since the study only had access to information that underwent imaging at their institution. I felt this study was relevant to the future practice of a FNP since we are trained to provide care to children and adults. Children and infants often present with symptoms of a UTI differently than an adult. It will often be the primary care provider who initially diagnose these clients. There is specific referral criteria and imaging appropriate for this age
495.
Summary Vesicoureteral reflux (VUR) among the general population is estimated to be 1-2 %. Siblings of patients with vesicoureteral reflux is estimated to be around 32% and up to 46% among siblings below two years old. Pediatric urologist indicated in a 1998 survey that sibling screening for vesicoureteral reflux is common practice. The benefit of sibling screening is to prevent urinary tract infections by identifying VUR, initiating antimicrobial prophylaxis, or performing surgery to correct the problem. The incidence of urinary …show more content…
Dr Finkelstein and Dr Schuster are associated with the Department of Pediatrics at Boston Children’s Hospital. Dr Logvinenko is from the Clinical Research Center at Boston Children’s Hospital. This would indicate that all four authors are well qualified in the subject matter of this study. I found some of the information to be confusing while reading the article, the results and discussion were however clear and concise. I agree with the findings and believe invasive testing on children who have no clinical symptoms or illness is unnecessary. Limitations of the study were identified as use of administrative data sources, such as loss to follow-up, clerical errors, incorrect patient identification and miscoding. Bias could be identified since the study only had access to information that underwent imaging at their institution. I felt this study was relevant to the future practice of a FNP since we are trained to provide care to children and adults. Children and infants often present with symptoms of a UTI differently than an adult. It will often be the primary care provider who initially diagnose these clients. There is specific referral criteria and imaging appropriate for this age