Urinary Tract Infection Care: An Research Proposal

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coli bacteria was essential given the purpose of the study, which aimed at determining how repeated cases f urinary tract infections were caused. Specific strains of the bacteria were identified from each of the seventeen infants initially diagnosed with a urinary tract infection that were a part of the study, and these were compared to cultures taken from infant during subsequent infections. The results showed that each infant had at least one recurrent episode caused by the exact same strain of the bacteria, and that same-strain infections accounted for the vast majority of recurring infections. This suggests that infection occurs from pathogens still present in the body, and is therefore more effectively treated as a relapse then considering each case to be a separate infection.

Cohen, a.; Rivara, F.; Davis, R. & Christakis, D. (2005). "Compliance with guidelines for the medical care of first urinary tract infections in infants: A population-based study." Pediatrics 115(6), pp. 1474-8.

The objective of this study was to determine both current and best practices regarding the care of infants in their first year that suffered from urinary tract infections, and to make recommendations for care based on a comparison of these two sets of practices. The study's design consisted of a retrospective analysis of data compiled by the Washington State Medicaid, and the care of urinary tract infections diagnosed in the first year of life evidenced in this source was compared to established best practices by te American Academy of Pediatrics.

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The study consisted of seven hundred and eighty infants who were diagnosed with a urinary tract infection during their first year of life, of which three hundred were hospitalized where they could receive anatomical imaging and other specific care practices that are recommended by the American Academy of Pediatrics. This means that less than half of all children in the Medicaid program received the level of care that was deemed most effective at treating urinary tract infections and thus preventing future recurrences. The fact that the subjects of this study were all enrolled in the state's Medicaid program is significant, and suggests that infants enrolled in the program are receiving a markedly lower standard of care than would be expected in the wider medical community. The authors recommend greater oversight in the Medicaid program, and as outpatient treatment of urinary tract infections becomes more common, they also suggest a higher emphasis be placed on outpatient imaging in order to achieve the recommended level of care.

Conclusion

An essential commonality to note in each of these studies is the importance of early and effective care of a urinary tract infection in the prevention of recurrent infections. With proper care, even those infants at higher risk for developing urinary tract infections (i.e. females and uncircumcised males) can be kept healthy and complication-free in the long-term. Improper care techniques, on the other hand,….....

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