[The pediatrician's approach to bed-wetting. A survey shows that hospital clinics adhere to current recommendations].
On behalf of the Swedish Enuresis Academy a survey how children with primary enuresis nocturna are handled, a questionnaire about investigation and treatment of the condition was sent to all pediatric clinics in Sweden. It was found, that the care of children with enuresis nocturna is initiated at the age of 5-6 years. After a careful history (especially to exclude daytime incontinence problems or signs of bladder dysfunction), a clinical investigation of the child and an urinalysis (dipslide), treatment is started with bedalarm or desmopressin owing to what the child and parents have chosen after having been offered both alternatives. Bedalarm is available at all pediatric clinics, mostly for hire. Follow up is usually performed by telephone by a specialist nurse or urotherapist. Most children with enuresis nocturna are handled at primary care clinics by general practitioners. To complete the survey a similar study in the primary health care system is therefore suggested.
Mattsson
Sven
S
Barn- och ungdomsmedicinska kliniken, Universitetssjukhuset, Linköping. sven.mattsson@lio.se
Stenberg
Arne
A
Hellström
Anna-Lena
AL
Lilja
Berit
B
D002648:Child; D002675:Child, Preschool; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D004775:Enuresis / Q000188:drug therapy / Q000628:therapy*; D004864:Equipment and Supplies; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006801:Humans; D010372:Pediatrics; D017010:Reminder Systems / Q000295:instrumentation; D011795:Surveys and Questionnaires; D014039:Toilet Training; D000078329:Workforce
D018680:Cholinergic Antagonists; D003894:Deamino Arginine Vasopressin