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Published on: December 31, 2017
Emerging Role of Microbiome in the Prevention of Urinary Tract Infections in Children
Anna Kawalec1, Danuta Zwolińska2
1Clinic of Pediatric Nephrology, University Hospital, 50-556 Wroclaw, Poland.
Insights
The pediatric urinary tract microbiome, or urobiome, is crucial for bladder health and preventing infections. Understanding its role and how to modify it is key for treating recurrent urinary tract infections in children.
Area of Science:
- Microbiology
- Pediatric Urology
- Gastroenterology
Background:
- The urinary tract microbiome (urobiome) is vital for bladder homeostasis, urothelial integrity, and immune function.
- Dysbiosis is associated with urinary tract infections (UTIs), kidney stones, and lower urinary tract dysfunction.
- Limited research exists on the pediatric urobiome and its implications for child health and urologic diseases.
Purpose of the Study:
- To characterize the healthy pediatric urobiome.
- To explore the role of urobiome dysbiosis in pediatric urinary tract infections.
- To review strategies for modifying the pediatric urobiome in recurrent UTIs.
Main Methods:
- Literature review of pediatric urobiome studies.
- Analysis of existing data on urobiome composition and function in children.
- Synthesis of current knowledge on dysbiosis and therapeutic interventions.
Main Results:
- The pediatric urobiome composition varies with age and health status.
- Specific microbial profiles are linked to increased UTI risk in children.
- Emerging strategies focus on microbiome modulation for UTI prevention and treatment.
Conclusions:
- The pediatric urobiome is essential for urinary tract health.
- Dysbiosis contributes to pediatric urologic conditions, particularly recurrent UTIs.
- Targeting the urobiome offers promising therapeutic avenues for children with urologic issues.
Abstract:
The microbiome of the urinary tract plays a significant role in maintaining health through the impact on bladder homeostasis. Urobiome is of great importance in maintaining the urothelial integrity and preventing urinary tract infection (UTI), as well as promoting local immune function. Dysbiosis in this area has been linked to an increased risk of UTIs, nephrolithiasis, and dysfunction of the lower urinary tract. However, the number of studies in the pediatric population is limited, thus the characteristic of the urobiome in children, its role in a child's health, and pediatric urologic diseases are not completely understood. This review aims to characterize the healthy urobiome in children, the role of dysbiosis in urinary tract infection, and to summarize the strategies to modification and reshape disease-prone microbiomes in pediatric patients with recurrent urinary tract infections.
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