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International Urogynecology Journal Mar 2022Urinary tract infections (UTIs) are one of the leading health concerns and causes of hospitalization for adults with spina bifida (SB). The risk factors, evaluation,... (Review)
Review
INTRODUCTION AND HYPOTHESIS
Urinary tract infections (UTIs) are one of the leading health concerns and causes of hospitalization for adults with spina bifida (SB). The risk factors, evaluation, management, and prevention of UTIs in women with SB must take into consideration their unique pelvic anatomy and function as well as the desire for pregnancy or the occurrence UTI during pregnancy. This article reviews published literature regarding this topic and offers recommendations for UTI evaluation, management, and prevention in the context of the unique pelvic floor health needs of women with SB.
METHODS
A systematic review was conducted using the following keywords: spinal dysraphism, spina bifida, myelomeningocele, meningocele, urinary tract infections, females, and adults. Articles were included if they were in English, published during or after 2000, peer reviewed, included women with spina bifida aged 18 or greater, and included outcomes related to urinary tract infection.
RESULTS
No articles met inclusion criteria.
CONCLUSION
As no articles were found based on the initial search criteria, articles pertaining to neurogenic bladder UTI risks, evaluation, and management were discussed to develop consensus recommendations for the unique care of UTIs in women with SB.
Topics: Adolescent; Adult; Female; Humans; Pelvic Floor; Pregnancy; Risk Factors; Spinal Dysraphism; Urinary Bladder, Neurogenic; Urinary Tract Infections
PubMed: 34081164
DOI: 10.1007/s00192-021-04860-5 -
International Journal of Pediatric... Jul 2020Cerebrospinal fluid (CSF) rhinorrhea in children is relatively uncommon. Endoscopic repair techniques in adults have become first line for nasal-based CSF leaks, and... (Meta-Analysis)
Meta-Analysis
OBJECTIVES
Cerebrospinal fluid (CSF) rhinorrhea in children is relatively uncommon. Endoscopic repair techniques in adults have become first line for nasal-based CSF leaks, and this meta-analysis looks at the success rates of CSF leak cessation following endoscopic repair in children.
METHODS
Three researchers extracted information involving patient population, surgical technique, outcomes of interest, and study design. A computerized search of MEDLINE, EMBASE and the Cochrane library (January 1990-September 2019) looked for several papers on the subject of CSF leak repair in children using endoscopic technique.
RESULTS
A total of 15 studies met inclusion criteria. Endoscopic repair of CSF rhinorrhea in children shows a pooled weighted success rate of 94% after first attempt. The most common etiology was traumatic followed by congenital. Iatrogenic defects secondary to tumor resection are becoming more common. The high success rate was irrespective of the techniques using.
CONCLUSION
Endoscopic repair techniques have a highly successful closure rate for children presenting with CSF rhinorrhea.
Topics: Adolescent; Cerebrospinal Fluid Leak; Cerebrospinal Fluid Rhinorrhea; Child; Child, Preschool; Craniocerebral Trauma; Encephalocele; Endoscopy; Humans; Iatrogenic Disease; Infant; Meningocele; Nasal Cavity; Natural Orifice Endoscopic Surgery; Postoperative Complications; Retrospective Studies; Treatment Outcome
PubMed: 32320837
DOI: 10.1016/j.ijporl.2020.110044 -
Disability and Health Journal Apr 2020We combined literature review and consensus-building methodologies to develop health care guidelines for people with Spina Bifida across the life span.
BACKGROUND
We combined literature review and consensus-building methodologies to develop health care guidelines for people with Spina Bifida across the life span.
OBJECTIVE
The present paper describes the methodology used to update and expand this fourth edition of the Guidelines for the Care of People with Spina Bifida ("Guidelines"). This process was a fundamental initiative within the Spina Bifida Collaborative Care Network.
METHODS
Working groups were formed consisting of international, multidisciplinary teams of clinical and research experts. A systematic review of multiple databases was conducted. The consensus building methodology, One-Text Procedure, was followed to draft and revise documents. Each section of the Guidelines was presented by working group chairs at a face-to-face meeting using the Nominal Group Technique (NGT).
RESULTS
The Level 1 review resulted in 2449 abstracts being reviewed, and the Level 2 review resulted in 874 full text articles being archived for working groups. After working groups added and eliminated articles, a total of 803 manuscripts were included in the bibliography of the Guidelines. The final version of the Guidelines was then released in 2018.
CONCLUSIONS
Evidenced based-research and consensus methodologies were used to develop the fourth edition of the Guidelines. It is hoped that this document will guide not only health care providers, but also patients and families, so that people with Spina Bifida can have the best and most scientifically-based care and treatments throughout ever-longer and higher-quality lives.
Topics: Consensus; Delivery of Health Care; Disabled Persons; Evidence-Based Medicine; Female; Health Services for Persons with Disabilities; Humans; Practice Guidelines as Topic; Quality of Life; Spinal Dysraphism; Systematic Reviews as Topic
PubMed: 31248776
DOI: 10.1016/j.dhjo.2019.06.005