CHOC Children’s

Structured summary Background Prenatal hydronephrosis (PNH) is one of the most common congenital anomalies and can increase the risk of developing a urinary tract infection (UTI) in the first two years of life. Continuous antibiotic prophylaxis (CAP) has been recommended empirically to prevent UTI in children with PNH, but its use has been controversial. Objective We describe the incidence of UTI in children with isolated PNH of the renal pelvis without ureteral dilation.

William Feaster, M.D., VP, Chief Health Information Officer, Choc Children’s Recently, our analytics team was approached by a nursing administrator with a staffing dilemma that, given my many years working in pediatric health systems, I knew wasn’t unique to CHOC Children’s.

SUMMARY Background Testicular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure. Objective To assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period.