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academies

International Conference on

FAMILY MEDICINE AND FAMILY PHYSICIANS

October 16-17, 2017 | Toronto, Canada

Arch Gen Intern Med 2017 | Volume 1 Issue 3

Context:

Recurrent urinary tract infections (UTIs) are the

leading cause of morbidity in children, and in patients with

spinal cord injuries. While traditionally cranberry has been

used to reduce UTIs, the evidence of its effectiveness is

conflicting, especially in children with neurogenic bladders

from spinal cord injuries. As such, family physicians are

unable to offer clear recommendations on cranberry use for

this population group.

Objective:

To evaluate the existing data regarding the use

of cranberry supplements as UTI prophylaxis in paediatric

spinal cord injured patients with neurogenic bladders.

Design:

Three literature searches of Medline databases

with no date limits were conducted using combinations of

the following terms: “pediatrics”, “urinary tract infections”,

“cranberry juice”, and “spinal cord injuries”.

Results:

No studies to date on cranberry as UTI prophylaxis

in paediatric spinal cord injured patients. Two systematic

reviews were identified with one focused on cranberry

supplements as UTI prophylaxis in the spinal cord injured, and

the other focused on its use in children. Neither study found

good supporting evidence for cranberry as UTI prophylaxis

in patients, children or adult, with neurogenic bladders.

However, there is evidence to support cranberry use for UTI

prevention in healthy children without neurogenic bladders.

Conclusions:

Extrapolating from the limited evidence

to support cranberry use for UTI prevention in patients

with neurogenic bladders, regardless of age, cranberry

supplements may not be effective as UTI prophylaxis in

paediatric spinal cord injured patients. More rigorous clinical

research is needed to confirm this.

e:

jennie.ding@ucalgary.ca

Review of current evidence: Cranberry supplementation as possible UTI prevention in paediatric spinal

cord injured patients

Jennie Ding

University of Calgary, Canada, Canada