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86. Elder JS et al. Pediatric Vesicoureteral Reflux Guidelines Panel summary report on the management of primary vesicoureteral reflux in children. J Urol 1997; 157 5 ; : 184651. 87. Andriole VT. Urinary tract infections in pregnancy. Urol Clin North 1975; 2 3 ; : 485498. 88. Brumfitt W. The effects of bacteriuria in pregnancy on maternal and fetal health. Kidney Int Suppl 1975; Suppl 4: S113S119. 89. McGrady GA, Daling JR, Peterson DR. Maternal urinary tract infection and adverse fetal outcomes. J Epidemiol 1985; 121 3 ; : 377381. 90. Romero R et al. Meta-analysis of the relationship between asymptomatic bacteriuria and preterm delivery low birth weight. Obstet Gynecol 1989; 73 4 ; : 576582. 91. Cunningham FG, Lucas MJ, Hankins GD. Pulmonary injury complicating antepartum pyelonephritis. J Obstet Gynecol 1987; 156 4 ; : 797807. 92. Whalley PJ, Cunningham FG, Martin FG. Transient renal dysfunction associated with acute pyelonephritis of pregnancy. Obstet Gynecol 1975; 46 2 ; : 174177. 93. Harris RE. The significance of eradication of bacteriuria during pregnancy. Obstet Gynecol 1979; 53 1 ; : 7173. 94. Smaill F. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev 2001: 2. 95. The prevention and management of urinary tract infections among people with spinal cord injuries. National Institute on Disability and Rehabilitation Research Consensus Statement. January 27-29, 1992. J Paraplegia Soc 1992; 15 3 ; : 194204. 96. Sobel JD, Vazquez JA. Fungal infections of the urinary tract. World J Urol 1999; 17 6 ; : 410414. 97. Gubbins PO, McConnell SA, Penzak SR. Current management of funguria. J Health Syst Pharm 1999; 56 19 ; : 19291935; quiz 1936. 98. Hisanaga TL et al. Antibiotic Resistance in Outpatient Urinary Isolates: Final Results from the North American Urinary Tract Infection Collaborative Alliance NAUTICA ; [abstract]. 43rd ICAAC Abstracts, American Society for Microbiology. September 2003: 118 and premphase. PLASMA-LYTE A PLASMA-LYTE-148 PLASMA-LYTE-148 D5W PLASMA-LYTE-56 D5W PLASMA-LYTE-M D5W PLASMA-LYTE-R PLASMA-LYTE-R D5W PLENAXIS PLENDIL PLETAL PLEXION CLEANSER PLEXION CLEANSING CLOTH PLEXION SCT PLEXION TS PODOCON 25 IN BENZOIN TIN PODODERM PODOFILOX POLY HIST FORTE POLY HIST PD POLY IRON PN POLY IRON PN FORTE POLYCIN B POLY-DEX POLYETHYLENE GLYCOL 3350 POLYGAM S D POLY-HISTINE POLYMYXIN GRAMICIDIN N EOM POLY-PRED POLYSPORIN POLY-VENT POLY-VENT JR. POLY-VI-FLOR POLY-VI-FLOR.

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Treatment if a herd is experiencing a flare up of disease, often prolonged and aggressive treatment may be required. It is best to discuss this treatment with your vet. Antibiotic footbaths are an effective method of treating dermatitis on a herd basis, but their use is off-label and should only be in accordance with your herd health plan. Maintenance once control has been established. As a routine, footbathing can be used to keep the overall level of disease at a minimum and ensure good foot hygiene. This should be done regularly throughout the risk period for digital dermatitis and could even be used all year round. A variety of products, from straight disinfectants to antibiotics, have been shown to be effective for control. One such maintenance treatment is Kovex Foam. The foam contains a disinfectant that sticks to the feet, increasing contact time and allowing an extended kill. Suitable for all herds, Kovex is best used at the parlour exit on herds of 250 cows or more.

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