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UROLOGIC DISEASES IN NORTH AMERICA PROJECT: TRENDS IN RESOURCE UTILIZATION FOR URINARY TRACT INFECTIONS IN CHILDREN

2005; Lippincott Williams & Wilkins; Volume: 173; Issue: 3 Linguagem: Inglês

10.1097/01.ju.0000152092.03931.9a

1527-3792

Andrew L. Freedman,

Diverticular Disease and Complications

No AccessJournal of UrologyPediatric Urology1 Mar 2005UROLOGIC DISEASES IN NORTH AMERICA PROJECT: TRENDS IN RESOURCE UTILIZATION FOR URINARY TRACT INFECTIONS IN CHILDREN ANDREW L. FREEDMAN and the UROLOGIC DISEASES in AMERICA PROJECT ANDREW L. FREEDMANANDREW L. FREEDMAN and the UROLOGIC DISEASES in AMERICA PROJECT View All Author Informationhttps://doi.org/10.1097/01.ju.0000152092.03931.9aAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the health utilization and economic burden on society of urinary tract infections (UTIs) in children using a variety of public and commercial health care databases. Materials and Methods: Numerous available databases were evaluated for health care utilization, including inpatient hospitalization, and outpatient physician and emergency department visits, by children with a coded diagnosis of urinary tract infection. Utilization was analyzed by age, gender, race, insurance type and geographic location, and trends were assessed during the last decade. Results: UTIs resulted in more than 1.1 million physician visits annually, accounting for 0.7% of doctor visits and occurring in 2.4% to 2.8% of children. Overall, inpatient hospitalization decreased slightly, although pyelonephritis still accounted for more than 13,000 admissions. Infants were more likely to receive inpatient care for UTIs than children or adolescents, although hospital costs were higher in adolescents. Inpatient hospital costs are estimated to be greater than 180 million dollars per year. Conclusions: Pediatric UTIs constitute a significant health burden on society. Available data do not allow a full accounting of costs due to a lack of information regarding outpatient expenses, as well as the cost of ancillary evaluation and treatment. However, the magnitude of the burden suggests the importance of further research and data collection of health care utilization in the pediatric population. References 1 : Minimum incidence and diagnostic rate of first urinary tract infection. Pediatrics1999; 104: 222. Google Scholar 2 : Urologic Diseases in America Project: analytical methods and principal findings. J Urol2005; 173: 933. Link, Google Scholar 3 : Urologic Diseases in America Interim Compendium. Washington, D. C.: U. S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases2004. Google Scholar 4 : Oral versus initial intravenous therapy for urinary tract infections in young febrile children. Pediatrics1999; 104: 79. Google Scholar 5 : A practical approach to evaluating urinary tract infection in children. Pediatr Nephrol1991; 5: 401. Google Scholar 6 : Imaging studies after a first febrile urinary tract infection in young children. N Engl J Med2003; 348: 195. Google Scholar 7 : Dimercaptosuccinic acid renal scintigraphy for the evaluation of pyelonephritis and scarring: a review of experimental and clinical studies. J Urol1992; 148: 1726. Link, Google Scholar From the Pediatric Urology Services, Cedars-Sinai Medical Center, Los Angeles, California© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWallis M, Paramsothy P, Newsome K, Williams T, Routh J, Joseph D, Cheng E, Tu D, Austin J, Tanaka S, Walker W, Smith K, Baum M and Wiener J (2021) Incidence of Urinary Tract Infections in Newborns with Spina Bifida—Is Antibiotic Prophylaxis Necessary?Journal of Urology, VOL. 206, NO. 1, (126-132), Online publication date: 1-Jul-2021.Arlen A, Merriman L, Kirsch J, Leong T, Scherz H, Smith E, Broecker B and Kirsch A (2014) Early Effect of American Academy of Pediatrics Urinary Tract Infection Guidelines on Radiographic Imaging and Diagnosis of Vesicoureteral Reflux in the Emergency Room SettingJournal of Urology, VOL. 193, NO. 5S, (1760-1765), Online publication date: 1-May-2015.Edlin R, Shapiro D, Hersh A and Copp H (2013) Antibiotic Resistance Patterns of Outpatient Pediatric Urinary Tract InfectionsJournal of Urology, VOL. 190, NO. 1, (222-227), Online publication date: 1-Jul-2013.Yiee J, Baskin L, Patel N, Yang J and Disandro M (2012) Prospective Blinded Laboratory Assessment of Prophylactic Antibiotic Compliance in a Pediatric Outpatient SettingJournal of Urology, VOL. 187, NO. 6, (2176-2181), Online publication date: 1-Jun-2012.Copp H, Halpern M, Maldonado Y and Shortliffe L (2011) Trends in Hospitalization for Pediatric Pyelonephritis: A Population Based Study of California From 1985 to 2006Journal of Urology, VOL. 186, NO. 3, (1028-1034), Online publication date: 1-Sep-2011.Whittam B, Thomasch J, Makari J, Tanaka S, Thomas J, Pope J, Adams M and Brock J (2009) Febrile Urinary Tract Infection After Ureteroneocystostomy: A Contemporary Assessment at a Single InstitutionJournal of Urology, VOL. 183, NO. 2, (688-693), Online publication date: 1-Feb-2010.Hsieh M, Swana H, Baskin L and Meng M (2018) Cost-Utility Analysis of Treatment Algorithms for Moderate Grade Vesicoureteral Reflux Using Markov ModelsJournal of Urology, VOL. 177, NO. 2, (703-709), Online publication date: 1-Feb-2007. Volume 173Issue 3March 2005Page: 949-954 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordspyelonephritispediatricsutilization reviewurinary tract infectionscystitisMetricsAuthor Information ANDREW L. FREEDMAN More articles by this author the UROLOGIC DISEASES in AMERICA PROJECT More articles by this author Expand All Advertisement PDF downloadLoading ...