(UTI in Childhood)
|The Urinary Tract|
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Abnormalities of the urinary tract, including:
- Vesicoureteral reflux—urine flows backwards from the bladder up into the kidneys
- Urinary obstruction—something is blocking or slowing the flow of urine
- Holding urine for long periods of time
- Not fully emptying the bladder
- Poor hygiene and toilet habits
- Clothing that is too tight, especially if it is not cotton
- Family history of UTIs
- Uncircumcised penis
- Feeling the need to urinate frequently
- Only producing a small amount of urine
- Burning or painful urination
- Foul-smelling urine
- Blood in the urine
- Potty-trained children wetting themselves
- Urinalysis—a laboratory examination of a urine sample
- Urine culture —to identify the specific bacteria that is involved
- Complete blood count and other blood tests if your child has a fever
Pain and Fever Relief
- Talk to your child's doctor if your child has an abnormality of the urinary system. Your child may need surgery.
- Make sure that girls learn to wipe from front to back.
- Encourage your child to go to the bathroom often—at least several times a day.
- Retract the foreskin of the penis on a regular basis. This will help to keep the area clean.
- If your child has UTIs often, the doctor may prescribe antibiotics. This may help to prevent a new infection.
Family Doctor—American Academy of Family Physicians http://familydoctor.org
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Health Canada http://www.hc-sc.gc.ca
American Academy of Pediatrics (AAP) clinical practice guideline on diagnosis and management of initial UTI in febrile infants and children aged 2 to 24 months. Pediatrics. 2011 Sep;128(3):595.
Urinary tract infection. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/health/diseases%5Fconditions/hic%5FUrinary%5FTract%5FInfections. Accessed May 15, 2013.
Urinary tract infection (UTI) in children. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 12, 2013. Accessed May 15, 2013.
Urinary tract infection (UTI) prevention. Cincinnati Children's Hospital Medical Center website. Available at: http://www.cincinnatichildrens.org/health/u/uti-prevention. Updated January 2010. Accessed May 15, 2013.
12/5/2007 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Pohl A. Modes of administration of antibiotics for symptomatic severe urinary tract infections. Cochrane Database of Syst Rev. 2007;(4):CD003237.
11/6/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Craig JC, Simpson JM, et al. Antibiotic prophylaxis and recurrent urinary tract infection in children. N Engl J Med. 2009;361(18):1748-1759.
- Reviewer: Kari Kassir, MD
- Update Date: 05/05/2014 -