Urinary tract imaging in infants with spina bifida: a selective approach to a baseline DMSA.

Introduction: There is no general agreement among paediatric urologists on how infants with spina bifida (SB) should be investigated after birth. Recently the EUA/ESPU guidelines have been published recommending a baseline DMSA scan in the first year of life and a Voiding Cystourethrogram (VCUG) or Videourodynamic (VUD) between the second and third month of life.

Objective: The aim of this study was to evaluate the outcome of renal investigations in the first year of life in infants with SB to verify if an early DMSA scan is indicated in the management of this group of patients.

Use of fosfomycin combination therapy to treat multidrug-resistant urinary tract infection among paediatric surgical patients - a tertiary care centre experience.

With increasing resistance to currently used antibiotics, antibiotic combinations are being resorted to. The present study deals with five children with complicated urinary tract infection (UTI) whose urine cultures grew multidrug-resistant (MDR) organisms. In all of these five cases, MDR organisms were the causative agents for UTI and the currently available antibiotics, including colistin, were ineffective, although the organisms were sensitive .

Determinants of gestational diabetes mellitus: A case control study in a district tertiary care hospital in south India.

Objective: To study the determinants of Gestational Diabetes Mellitus (GDM).

Design: Case-control study.

Setting: Sri Avittom Thirunal Hospital, Thiruvananthapuram district, Kerala, South India.