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A Guide to Know About Urinary Tract Infections (UTIs) in Children 

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What is urinary tract infection (UTI) in children? 

A urinary tract infection is when the part of the system that carries urine out of the body is infected by bacteria causing inflammation. 

The urinary tract includes- 

Kidneys: Remove waste from the blood in the form of urine 

Ureters: Carries urine from the kidneys to the bladder 

Bladder: Storage unit of urine 

Urethra: Carries urine out of the body 

What Are the Symptoms of UTI in Children? 

• Fever and Vomiting 

• Bad-smelling urine 

• Irritability and crying 

• Diarrhea 

• Sudden or often urination 

• Loss of control of urine (incontinence) 

• Pain while urinating 

• Pain above the pubic bone 

• Blood in the urine 

• Pain below the ribs 

The symptoms of a UTI are similar to other health conditions. Consult a doctor for a proper diagnosis. 

What Causes UTI in Children? 

Urine in our body contains components of water, salt, and other waste products. 

An infection or UTI happens when germs (bacteria, viruses, and fungi) enter the urinary tract and begin to grow. 

Most urinary tract infections are caused by bacteria, and the most common is Escherichia coli (E. coli) which normally lives in the colon (digestive tract). 

Who Are More Likely to Get UTI? 

A UTI is not common in children below the age of 5 years. It is more common in girls due to shorter urethra when compared to men. However, uncircumcised boys are at high risk for a UTI than circumcised boys. 

How is a UTI in Children Diagnosed? 

Urine testing or urinalysis to check for signs of infection. 

Kidney ultrasound to make images of the organs of the urinary tract. It shows internal organs’ images as they function and can assess blood flow through vessels. 

Voiding cystourethrogram (VCUG): A type of X-ray of the urinary tract to see for any reverse flow of urine into the ureters and kidneys. 

How is a UTI in Children Treated? 

Treatment depends on symptoms, age, and severity of the condition.  

Treatment includes: 

• Medications (Antibiotics or pain relief medicines) 

• Drinking plenty of water 

Talk with your doctor about the treatment plan and ways to prevent UTIs. 

How to Prevent UTI in Children? 

• Add more fluids to the diet 

• Change diapers frequently 

• Avoid tight-fitting clothing and undergarments 

• Avoid caffeine, which can cause bladder irritation 

• Teach proper hygiene for a clean genital area 

• Teach safe wiping techniques 

• Avoid tub-bath and swimming   

Urinary tract infections (UTIs) are a common medical problem in children, especially in infants and young girls. UTIs can cause discomfort, fever, and other serious complications if not promptly diagnosed and treated. The risk factors for UTIs in children include poor hygiene, structural abnormalities of the urinary tract, and constipation. UTIs are usually treated with antibiotics, and prevention strategies include encouraging proper hygiene practices, increasing fluid intake, and treating constipation if present. In some cases, further investigation and treatment may be needed for underlying structural abnormalities or other medical conditions that increase the risk of UTIs. Early diagnosis and treatment are crucial to prevent complications and ensure optimal outcomes in children with UTIs. 

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