What is Urinary Tract?
- The kidneys filter blood to produce urine
- Urine travels from the kidneys down the ureter's and into the urinary bladder
- The urine is stored in the bladder until urination occurs
- The tube through which urine then passes out of the bladder during urination is called the urethra
What is a urinary tract infection?
A urinary tract infection is an infection caused by bacteria (germs) getting into the urinary tract
How do I know if my child has a urinary tract infection?
The signs and symptoms of urinary tract infections in children depend on the child's age, and may include any or all of the following:
- In consolable by mother or father
- Vomiting and diarrhea
- Poor feeding
- Failure to gain weight
*since these are generalized symptoms in most infants, the diagnosis of urinary tract infection may be over looked.
- Burning or pain with urination
- Frequent urination
- Lower abdominal pain
- New wetting episodes or more frequent occurrences
- Side or back pain
- Blood in urine (gross or seen on urinalysis)
As the child reaches toddler age, more classic symptoms appear, such as pain on urination, urinary frequency and urgency. It becomes easier to recognize urinary tract infection as the child becomes verbal and is toilet trained.
What does it mean if my child has / had many urinary tract infection's?
Many children who have had a urinary tract infection will get additional urinary tract infection's in future.
Some children with urinary tract infection have an underlying problem with their urinary tract, making it more likely for them to suffer a serious infection. The most common underlying problem is VUR (vesico ureteral reflex) which affect about 1% of all children. Conditions such as VUR can be treated, to prevent your child getting serious urinary tract infection's in the future.
How to collect urine for urine R & C/S?
The method of urine collection will affect the accuracy of the urine culture. Remember:
A) wash the skin around the urethra with the cleansing pad to get rid of the bacteria on the skin's surface
B) If the urine is collected at home, keep the urine sample cold by placing it in the refrigerator at home and packing it in ice while traveling to the doctor's office.
What will my doctor do if he / she thinks my child has a urinary tract infection?
Your doctor will do some tests to find out whether your child has becteria in the urinary tract. If your child has a urinary tract infection, the infection will normally be treated with antibiotics to kill the becteria. Your doctor may send your child for more tests to examine the urinary tract. This is especially important if the doctor thinks the becteria reached the kidneys.
Can urinary tract infection’s be prevented?
- The risk of bacteria getting into the urinary tract can be reduced by:
- Changing the diaper’s frequently
- Proper cleanliness of the child’s bottom area
- Wiping from front to back after going to toilet
- Avoiding bubble baths and strongly scented soaps
- Wearing cotton underwear
- Urinating frequently
Treatment of urinary tract infection
- All children with urinary tract infection are treated with a safe and well-tolerated antibiotics that the urine culture shows will be effective. Children with a bladder infection can usually be treated with a short course (7 days). Children with kidney infection should be treated for 10-14 days. A child who is very ill or a child with a kidney infection will most likely require hospitalisation for intravenous antibiotics until the fever goes away and the urine culture results are known
- Another urine c/s will be done while your child is taking the antibiotics or when the medication is finished to make sure the infection is gone
- If your child has never been evaluated, the antibiotics should be continued until the appropriate x-ray are done and you have been instructed by our office that it is safe to stop the antiobiotics
- Children with urinary infections may have unhealthy voiding habits. These children are often helped by establishing a schedule and completely emptying their bladder evert 2-3 hours. This problem usually disappears as the child enters puberty and, if no kidney these children are not at greater risk for serious problem in the future
- Some children who have repeated urinary tract infection for no obvious reason may require continuous-dose medication for aa period of time
- Treatment for children who are found to have vesico uretheral reflex will vary according to the child’s age, number of urinary infections and the findings of tests
DR. GRIFFIN .M
MBBS, MS (Gen Surgery), M.Ch(Urology)
Consultant Urologist, Andrologist & Kidney Transplant Surgeon
MBBS, MS, Mch (Urology)