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Published on: June 21, 2024
The pediatric urobiome in genitourinary conditions: a narrative review
Elisabeth Cole1, Nader Shaikh1, Catherine S Forster2
1Department of Pediatrics, University of Pittsburgh School of Medicine, 4401 Penn Ave, Pittsburgh, PA, 15224, USA.
Insights
The pediatric urobiome, or bladder microbial community, is understudied but crucial for understanding genitourinary conditions in children. Research in this area may reveal new treatments for conditions like urinary tract infections.
Area of Science:
- Pediatric Urology
- Microbiome Research
- Genitourinary Health
Background:
- The urinary microbiome (urobiome) is an emerging research area.
- Limited data exists on the pediatric urobiome.
- Understanding the urobiome could impact genitourinary condition pathophysiology and therapeutics.
Purpose of the Study:
- Review existing pediatric urobiome literature.
- Focus on urinary tract infections, nephrolithiasis, and neurogenic bladder.
- Identify pediatric-specific considerations and future research directions.
Main Methods:
- Literature review of pediatric urobiome studies.
- Analysis of research concerning specific genitourinary conditions.
- Synthesis of findings to highlight knowledge gaps.
Main Results:
- The pediatric urobiome is under-researched across key genitourinary conditions.
- Specific considerations are needed for interpreting pediatric urobiome data.
- Potential for novel diagnostic and therapeutic targets exists.
Conclusions:
- Increased awareness of pediatric urobiome research is vital for clinicians and researchers.
- Further investigation is warranted to elucidate the role of the pediatric urobiome.
- This field holds promise for advancing pediatric urogenital health.
Abstract:
The microbial ecosystem within the bladder that can be measured within the urine, or urobiome, is an emerging field of study with little published data regarding children. However, investigations into urobiome research have the potential to significantly impact the understanding of the pathophysiology of genitourinary conditions, as well as potentially identify novel therapeutics. Therefore, both researchers and clinicians should be aware of pediatric urobiome research. The purpose of this review is to highlight the literature around urobiome research in urinary tract infections, nephrolithiasis, and neurogenic bladder; comment on pediatric-specific considerations when reading and interpreting the urobiome literature; and to identify new potential areas of research.
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