The Management of Antenatal Hydronephrosis
Antenatal hydronephrosis (ANH) is one of the most common anomalies identified during routine prenatal ultrasonography. Most of the time ANH is self-limiting, but it can also be an indication of underlying urologic pathology. Complications associated with ANH include increased risk of urinary tract infection and decreased renal function. Risk factors that increase the likelihood of complications include a high value for anteroposterior diameter, female gender, the lack of circumcision in males, and the presence of reflux or obstruction. The use of antibiotic prophylaxis in patients with ANH is debatable, but the presence of certain risk factors can help the pharmacist determine the appropriateness of antibiotic use in patients.
Leong SY, Afolabi TM, Tsu LV. The Management of Antenatal Hydronephrosis. US Pharmacist, 2016.
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