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[Recurrent cystitis in children: do predisposing factors exist for its onset?]
F Franchini1, I Brizzi, T Casini
1Dipartimento di Pediatria, Università di Firenze.
Insights
Recurrent urinary symptoms in girls, often misdiagnosed as cystitis, may stem from overlooked factors rather than infection. Investigating adherence to specific medical guidelines could reveal the true cause of these "sham syndromes".
Area of Science:
- Pediatric urology
- Infectious disease diagnostics
Context:
- Recurrent urinary symptoms like pollakiuria and dysuria are common in pediatric patients, particularly young girls.
- Many cases initially diagnosed as cystitis are later found to lack bacterial infection, termed 'sham syndromes'.
Purpose:
- To investigate the potential role of missed observations of definite rules in recurrent urinary symptoms presenting as cystitis in pediatric patients.
- To explore the classification and underlying causes of "sham syndromes" in children experiencing frequent urinary complaints.
Summary:
- The study examines pediatric patients with recurrent urinary issues, such as painful urination and incontinence, often misdiagnosed as urinary tract infections (UTIs).
- Repeatedly negative urine cultures led to the classification of these conditions as "sham syndromes," suggesting non-infectious origins.
- The research questions whether a failure to adhere to established medical protocols contributes to these recurrent, non-bacterial "cystitis" episodes.
Impact:
- Highlights the need for differential diagnosis in pediatric urinary symptoms to avoid misclassification as infections.
- Suggests a potential link between adherence to medical guidelines and the resolution of recurrent urinary complaints in children.
- Emphasizes the importance of recognizing "sham syndromes" to ensure appropriate patient management and reduce unnecessary treatments.
Abstract:
It is known that a great number of subjects, mainly little girls, frequently go to pediatric's observation for recurrent episodes of pollakiuria, dysuria or burning miction. They often complain enuresis, sometimes tenesmus so intense that they arrive at the incontinence (urge incontinence). Many of these cases, quickly defined as cystitis, really revealed that they weren't. Repetitively negative bacteriologic examinations allow us to classify them as "sham syndromes", as Stephens called them. According to what we said above, we wondered whether any recurrent cystitis are not favoured by missed observation of definite rules.