Urinary Tract Infections in children

Dr. Khuloud Ibrahim Alblooshi

  • Sunday 07, April 2019 07:34 AM
  • Urinary Tract Infections in children
Sharjah24: Urinary Tract Infection (UTI) develops when bacteria or other organism invade the urinary system which include the two kidneys, two ureters, the bladder and the urethra.
The most common cause of infection is bacteria and most of them arise from E. coli which is responsible for approximately 80% of urinary tract infections in children, and its a type of bacteria that lives in the digestive tract normally and ascend through the urethra then multiply and cause infection. Other uncommon causes of UTI includes viruses and fungi.

Some children are at higher risk for developing UTI because of various risk factors which include:

-Boys younger than one year, girls younger than four years and uncircumcised male

-Female infants have a higher prevalence because of the shorter female urethra

-Genetic factors and history of UTI in first degree relative

-Obstructive urologic abnormalities, bladder and bowel dysfunction or constipation

-Using a bladder catheter for a long time

UTI produce various types of symptoms which depend on the child's age, these symptoms include:

-Symptoms in young children below 2 years may include irritability or fussiness, fever, vomiting or diarrhea, foul-smelling urine, poor feeding or poor weight gain

-Symptoms in children older than two years include pain or burning with urination, fever, urgency or frequent urination, Wetting the bed during the night, foul smelling urine or blood in it, nausea or vomiting and back or abdominal pain

Children with UTI symptoms should be evaluated though full assessment including present and past history, physical examination, in addition to laboratory evaluation like urine test and sometimes blood test if necessary, also ultrasound can be done especially in cases of recurrent UTI.

As most UTIs are caused by bacteria commonly E.coli, antibiotics will be used for treatment, and the choice of the best antibiotic will depend on various factors including the age of the child and the germ responsible for the infection.

Most children with UTI can be managed with medications at home, while on the other side. some of them will require hospitalisation for different causes like age below 2 months, ill child with vomiting and not tolerating oral or failure to respond to oral therapy and immunocompromised patient.

Urinary Tract Infections can be prevented in children by treating constipation and bladder problems, and in case of recurrent UTIs, the doctor can recommend taking a daily low dose of antibiotic which usually continued for 6 to 12 months.