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Arch Pediatr Adolesc Med. 2006;160:451-452.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In "Reevaluating Antibiotic Therapy for Urinary Tract Infections [UTIs] in Children" Yared and Edwards suggest that "pediatricians should thoughtfully reexamine their practice of prescribing prophylactic antibiotics; this practice further contributes to antibiotic pressure and resistance."^1(p993) I concur. So do many families. In fact, many families turn to home remedies such as cranberry juice to prevent recurrent UTIs, often without discussing this therapy with their physician.²

Although cranberry juice and capsules have proven effective in adult women with recurrent UTIs, they have only been studied in pediatric populations at very high risk for recurrent UTIs and not in the typical population receiving prophylactic antibiotics. Many questions need to be addressed: pharmacokinetics of different cranberry products (juice vs fresh berries vs dried fruit vs dried in capsules; organic, pure juice vs corn syrup–sweetened juice diluted with water or other juices); the effectiveness of cranberry vs other members of its botanical family, such . . . [Full Text of this Article]

AUTHOR INFORMATION

Kathi J. Kemper, MD, MPH