Pediatr. praxi. 2026;27(4):241-245 [Urol. praxi. 2026;27(1):42-47]

Nonpharmacological measures in recurrent urinary tract infections in children and adolescents

MUDr. Zuzana Vyoralová
Dětské oddělení a dětská nefrologická ambulance KNTB, a. s., Zlín

Urinary tract infections (UTIs) in children are a common reason for visiting a paediatrician as well as for being hospitalized. Children with recurrent UTIs are at a higher risk of kidney injury, particularly when concurrent with vesicoureteral reflux. Prevention involves a set of measures intended to reduce the recurrence rate and thus the risk of renal insufficiency. Given the increasing pharmacological resistance of bacteria, nonpharmacological measures are becoming increasingly important.

Keywords: urinary tract infections, nonpharmacological prophylaxis, lifestyle measures, hygiene measures.

Published: September 17, 2026  Show citation

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Vyoralová Z. Nonpharmacological measures in recurrent urinary tract infections in children and adolescents. Pediatr. praxi. 2026;27(4):241-245.
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    References

    1. Zieg J, Bébrová E. Diagnostika a léčba infekce močových cest u dětí z pohledu současných poznatků. Pediatr. praxi. 2015;16(4):238-242. Available from: https://www.pediatriepropraxi.cz/pdfs/ped/2015/04/07.pdf.
    2. European Association of Urology. Paediatric Urology Guidelines Panel. EAU Guidelines on Paediatric Urology - Limited Update April 2024 [Internet]. Arnhem: European Association of Urology; 2024 [cited 2025 Aug 13]. Available from: https://uroweb.org/guidelines/paediatric-urology.
    3. Kouri TT, Hofmann W, Falbo R, et al. The EFLM Euro­pean Urinalysis Guideline 2023. Clin Chem Lab Med. 2024; 62(9):1653-1786. Go to original source... Go to PubMed...
    4. Janda J, Seeman T, kolektiv. Dětská nefrologie. 2., přepracované a doplněné vydání. Praha: Grada Publishing; 2021: s. 244-277.
    5. Kolský A, Doležalová Š, Langer J. Infekce močových cest u dětí a jejich prevence. Urol. praxi. 2014;15(4):155-158.
    6. RIVUR Trial Investigators, Hoberman A, Greenfield SP, Mattoo TK, et al. Antimicrobial prophylaxis for children with vesicoureteral reflux. N Engl J Med. 2014;370(25):2367-2376. Go to original source...
    7. Flögelová H. Infekce močových cest v dětském věku - pohled nefrologa. Urol. praxi. 2015;16(3):102-105. Available from: https://www.solen.cz/pdfs/uro/2015/03/03.pdf.
    8. Matsumoto F, Tohda A, Shimada K. Effect of ureteral reimplantation on prevention of urinary tract infection and renal growth in infants with primary vesicoureteral reflux. Int J Urol. 2004;11(12):1065-1069. Go to original source... Go to PubMed...
    9. Chen CJ, Satyanarayan A, Schlomer BJ. The use of steroid cream for physiologic phimosis in male infants with a history of UTI and normal renal ultrasound is associated with decreased risk of recurrent UTI. J Pediatr Urol. 2019;15(5):472.e1-6. Go to original source... Go to PubMed...
    10. Holzman SA, Chamberlin JD, Davis Dao CA, et al. Retractable foreskin reduces urinary tract infections in infant boys with vesicoureteral reflux. J Pediatr Urol. 2021;17(2):209.e1-6. Go to original source... Go to PubMed...
    11. Hooton TM, Scholes D, Hughes JP, et al. A prospective study of risk factors for symptomatic urinary tract infection in young women. N Engl J Med. 1996;335(7):468-474. Go to original source...
    12. Dítě Z. Biofeedback v léčbě inkontinence moči u dětí. Urol. Praxi. 2010;11(6):299-301.
    13. Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics. 1997;100(2 Pt 1):228-232. Go to original source... Go to PubMed...
    14. Kladenský J. Nekomplikované infekce dolních močových cest u žen - možnosti léčby a prevence. Urol. praxi. 2018;19(1):10-15. Go to original source...
    15. Lázeňská péče - Léčebné lázně Lázně Kynžvart. Léčebné postupy u dětí [Internet]. [s.l.]; [cited 2025 Jul 9]. Available from: https://www.lazne-kynzvart.cz/cs/lazenska-pece/lecba-ditete/lecebne-postupy.
    16. Liska DJ, Kern HJ, Maki KC. Cranberries and urinary tract infections: how can the same evidence lead to conflicting advice? Adv Nutr. 2016;7(3):498-506. Go to original source... Go to PubMed...
    17. Humlová Z. Aktuální trendy ve využití bakteriálních lyzátů. Farmacie pro praxi. 2023;19(4):220-225.

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