Tag Archives: urinary infection

Urinary infection in children: what need to be done?

uti

  Definition of urinary tract infection (UTI) is  growth of significant number of organisms of single species  in urine sample along with Symptoms. ( First aid for urinary pain in children. )

Types of UTI and common symptoms

Simple UTI: mild fever, irritable, Pain during urination, increased frequency and urgency

Complicated UTI: High grade fever, vomiting, stomache, dehydration and toxic looking child

Symptoms present less often are: heamturia, voiding issues, bed wetting , failure to thrive may also be present

 

Risk factors:    Girl child , poor hygiene, Vesicoureteral reflux (VUR), Voiding dysfunction, obstruction in urinary tract

Urine collection: mid stream clean catch sample gives most accurate report in home settings

Urine routine , microscopy s/o UTI: pus cells in urine sample, along with positive nitrate and leucocyte esterase .

Gold standard test is urine culture.. as its report takes aroung 48 hours to come, we can start antibiotics after sending urine sample for culture in consultation with doctor and wait for culture report for further plan of action.

Treatment:

Plenty of fluids, oral antibiotics and other supportive care as advised by your doctor

Plan of action as per age ( preferably in consultation with pediatric nephrologist)

  • Less than 1 years: Ultrasound, MCU and DMSA scan
  • 1-5 years of age: ultrasound and DMSA, ( if DMSA is abnormal than MCU to be done)
  • More than 5 years: Ultrasound only ( if abnormal  further work up)

In high risk cases ,we might need prophylaxis to prevent repeated episode of urinary infection.

Whenever in doubt consult pediatric nephrologists

Regards

Dr Rahul Varma

First Aid for Urinary Pain in kids

home page UTI 

Pain, irritation or excessive crying while passing urine should not be ignored as it could be sign of urinary tract infection. If urinary infection spreads it can cause damage to kidney in children. Other causes of Pain during urination could be local injury, stones (which are small masses of minerals).

UTI (urinary tract infection) is the most common cause of pain during passage of urine.

What are the common sign and symptoms of UTI? :

  • Increased frequency of urine i.e Urgency
  • Burning sensation while passing urine
  • Blood in urine
  • Lower back pain
  • Fever
  • Vomiting
  • Poor appetite

 UTI 2

What can be done at home? :

  • Do not panic
  • Give one dose of Ibuprofen to make child comfortable
  • Encourage child to drink lots of water and other fluids, like juices (some say cranberry juice is best).
  • Call your child doctor (if child is not able to pass urine or having severe pain not responding to medication).
  • Follow your doctor’s advice
  • Do not give Antibiotics without consulting your doctor and without sending sample for Urine routine and microscopy.

 watch for temp in UTI

How to prevent Urinary Infection? :

  • Change diapers frequently. Soiled diaper to be removed right away.
  • Encourage child to go to bathroom at regular interval. Prevent child from holding urine for long.
  • Avoid perfumed soaps. Wash genital area with mild soap and water.
  • Wipe potty from front to back (especially in girls). This will avoid contact of soiled potty particle to come in contact with urinary and genital area.
  • Adolescent kids to be screened for sexually transmitted diseases.

  Urinary-Tract-Infection

Feel free to discuss with your child specialist regarding any queries regarding your child’s Health or contact Us at MAYA CLINIC.

Regards

Dr Rahul varma