My son was diagnosed with mild to moderate kidney reflux and hydronephrosis 
via prenatal ultrasound.  He was full term, and was put on daily antibiotics 
almost from birth until he was approximately 1 year old.  I was very unhappy 
with this, but agreed to it.  He was exclusively breastfed and now, at four 
years old, has never had a single infection of any kind. 
 
When he was one year old, as we were walking our of our last appointment 
with the pediatric nephrologist, he said in an off-handed way, "You know, 
we're starting to think that we're overtreating this."  Every doctor we saw 
said that the rate of diagnosis has gone way up in recent years due to better 
ultrasound technology. 
 
Last year our pediatrician sent us a study published in Pediatrics 
entitled, "Clinical Significance of Primary Vesicoureteral Reflux and Urinary 
Antibiotic Prophylaxis After Acute Pyelonephritis:  A Multicenter, Randomized, 
Controlled Study."  This study concluded that, for children with mild to 
moderate kidney reflux, who had already experienced acute 
pyleonephritis, "Our data indicate that urinary antibiotic prophylaxis among 
patients with grade I to grade III VUR does not decrease the overall incidence 
of recurrent UTI, the rate of pyelonephritis, or the formation of renal scars.  
Among our patients, prophylaxis increased the chance of developing 
pyelonephritis."  A link to the article is below. 
 
http://pediatrics.aappublications.org/cgi/content/abstract/117/3/626
http://pediatrics.aappublications.org/cgi/content/full/117/3/919
 
Tanya Lieberman, IBCLC
http://breastfeeding.blog.motherwear.com

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