A member asked:

Is antibiotic prophylaxis an effective treatment for children with vesicoureteral reflux?

3 doctors weighed in across 2 answers
Dr. Jay Park answered

No: Over 30 years, antibiotic prophylaxis has been recommended for children with vu reflux without firm evidence of benefit. Current consensus is: grade v reflux requires surgery (or nonsurgical deflux measure); grade ii-iv reflux needs regular follow-ups with adequate treatment for each bout of recurrent infection. Grade i reflux generally resoves spontaneously.

Answered 12/20/2012

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Depends: The debate has gone on for years. I choose to leave it in the hands of the pedi-urologist who will have to decide when any aggressive management (surgery) would be warranted. Their trend has been not to treat unless a kid has recurrent infections and then get off when possible.Prophylaxis in all cases appears to have gone the way of boom boxes.

Answered 9/1/2015

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