THE TREATMENT OF PYELITIS IN INFANCY AND CHILDHOOD
Journal of the American Medical Association (JAMA)
This paper is based on a series of eleven cases treated by pelvic lavage with silver nitrate, and is intended as a preliminary report of one of our studies of pyelitis occurring in infants and children. Nothing new is claimed for this method of treatment, that is, pelvic lavage, nor do we lay claim that silver nitrate is a specific, nor is it the only drug that may be or has been used in treating colon bacillus infections of the higher urinary tract. In this paper we wish to present the results
... present the results obtained in this series of eleven cases that were treated by silver nitrate instillations into the renal pelvis. The excellent results obtained in the treatment of B. coli infections in adults by means of silver nitrate injections of the renal pelvis seemed to justify an attempt to treat a series of cases in this way in order to determine whether or not this form of treatment could be applied to infants and children and, further¬ more, to determine whether or not this method posses¬ ses advantages over the methods in general use, namely, internal treatment and vaccine treatment. As a rule, pediatricians have not availed themselves of this form of treatment. The urologist who is pre¬ pared to carry out pelvic lavage does not, as a rule, see many of these cases. This situation calls for a closer cooperation between these two specialties than exists at present. The acute hematogenous unilateral cases of renal infection, more or less fulminating in character, gener¬ ally call for surgical intervention and will not be con¬ sidered in this paper. There are several reasons why this form of treat¬ ment has not been employed in infants and children more frequently than it has. Perhaps the first of these is the lack of appreciation that this is possible, and the second, that general anesthesia is necessary.