Urinary Tract infection(UTI) - Dr RK Joshi

Dr RK Joshi

Treatment for Urine Infection in Child

urinary tract infection baby girl

Urinary Tract infection (UTI)

1.Commonly coccus in children all age group but most common in children under 1year.

2.Under 1 year of age female babies  are most commonly affected.

3.UTIs are primarily caused by colonic bacteria.

  1. High grade fever with chills
  2. Excessive cry, nausea, vomiting and irritability.
  3. Frequent urination, painful urination, pus discharge with urine and holding urination
  4. Lower abdominal pain and back pain
  5. Blood in urine or red coloured urine
  6. In Newborn- Poor feeding, irritability, vomiting and weight loss 
  1. Constipation of long duration, focal impaction can lead to UTI 
  2. At onset of toilet training due to bowel- bladder dysfunction, where child is trying to retain urine.
  3. School age children who refuse to use school washroom, creating a state of urinary retention.

Urine Routine and Microscopy , Urine Culture

Whenever any kids detected 1st time with UTI, Ultrasound of Kidney-Ureter and Bladder(KUB) is mandatory to rule out other anomalies.

1. Irrational use of antibiotics in all cases of fever without proper evaluation and diagnosis leads to  resistant UTI and later  infection of kidney and it collective system.


2. Many a times kids can have recurrent fever episodes and incomplete course of antibiotics without diagnosis leading to complications later.

1.To start antibiotics after sending urine R/M and culture tests in all cases of suspected UTI.


2. Full course of antibiotics for specified period as advised by doctor even if the child has  improved.


3. Ultrasound KUB (Kidney, Ureter and Bladder) 

  1. Recurrent UTI resistant to common antibiotics
  2. Ascending infection to kidney causing pyelonephritis, abscess and  late cases renal failure.

Urinary tract infections (UTIs) are quite common in children, especially among infants and young girls. They occur when bacteria enter the urinary tract, typically through the urethra, and multiply in the bladder. While UTIs can be uncomfortable and even painful for children, they’re usually treatable with antibiotics and rarely cause serious complications.

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