urinary tract infections and treatment

Posted on 12 Янв 201812

Urinary Tract Infections - KidsHealth

Urinary Tract Infections - KidsHealth
Urinary tract infections (UTIs) are common in kids. They're easy to treat and usually clear up in a week or so.

Images provided by The Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart. Kids with a more severe infection may need treatment in a hospital so they can get antibiotics by injection or intravenously (delivered through a vein right into the bloodstream). Older kids might simply need to pee into a sterile cup. Cystitis may show up as burning on urination, often in the "middle" of urination. This is kidney failure, and if it is bad enough and long-lasting enough the only solutions are dialysis (filtering your blood through an "artificial kidney" which isn't nearly as good as the real one and requires you to sit hooked up to a of plumbing three times a week) or a kidney transplant (which also poses many risks and problems).

For younger children in diapers, a catheter is usually preferred. It causes many of these same symptoms, but the child often looks sicker and is more likely to have a  (sometimes with shaking chills), pain in the side or back, severe tiredness, or vomiting. This can occur if the bacteria entered the urinary tract from above, or if the ureter-to-bladder valves don't work properly and allow urine to "reflux" from the bladder into the ureters. It won't necessarily show the source of microscopic bleeding, but if the bleeding is microscopic it may stop after the infection is treated and we may never know precisely where the blood was entering the urine. Milder cases of reflux will often improve as a child grows; for intermediate grades of reflux we may decide to give a child low doses of antibiotics until the reflux improves (which may take several months).

The symptoms you have with a UTI depend on how old you are and on where in the urinary tract the infection is located. How a sample is taken depends on a child's age. UTIs are easy to treat and usually clear up in a week or so. It's important to make sure of this because an incompletely treated UTI can come back or spread. You aren't supposed to have urethral valves except for the sphincter; these "extra" valves usually is infection of a ureter. If this is bad enough, your blood pressure may be kept too low (and you'll faint frequently at the very least) or too high (leading to strokes, heart disease, and other nasty things). In men and boys, the prostate gland, which makes some of what goes into semen. For the initial diagnosis in small children we usually use a sterile catheter inserted into the bladder through the urethra (after cleaning the meatal area with iodine or another soap that kills bacteria). About one-quarter of the blood pumped by the heart goes through the kidneys. Call your doctor immediately if your child has an unexplained fever with shaking chills, especially if there's also back pain or any type of pain when peeing.

Urinary Tract Infections (UTIs) Causes, Symptoms, Treatments
WebMD explains urinary tract infections (UTIs), including causes, symptoms, treatment, and prevention.

At least half of all women experience urinary tract infections (UTIs). Learn more about the causes, symptoms, diagnosis, and treatments.

This type of UTI is called an increased urge or more frequent need to pee (though only a very small amount of pee may be passed) and is usually more serious. Call the doctor if your infant has a fever, feeds poorly, vomits repeatedly, or seems unusually irritable. When you urinate, muscles in the bladder wall help push urine out of the bladder, through the urethra, and out. Blood in the urine can be a sign -- sometimes the only sign at first -- of a urinary tract infection. The amount of radiation involved in nuclear kidney scans is much less than even standard X-ray machines would give.

Images provided by The Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart. This can be due to other things besides the organisms usually involved in UTI's; in particular, many sexually-transmitted diseases (STD's) appear initially as urethritis. To be sure antibiotics work, you must give all the prescribed doses — even when your child starts feeling better. You aren't supposed to have urethral valves except for the sphincter; these "extra" valves usually is infection of a ureter. Cystitis may show up as burning on urination, often in the "middle" of urination.

We sometimes use pucks to collect samples for follow-up culture, but such samples just don't work well for the initial diagnosis where we to know whether or not there really is an infection. For younger children in diapers, a catheter is usually preferred. In particular, renal failure may not be complete until long after the first UTI. Knowing what bacteria are causing the infection can help your doctor choose the best treatment. Milder cases of reflux will often improve as a child grows; for intermediate grades of reflux we may decide to give a child low doses of antibiotics until the reflux improves (which may take several months). This can occur if the bacteria entered the urinary tract from above, or if the ureter-to-bladder valves don't work properly and allow urine to "reflux" from the bladder into the ureters. This may sound barbaric, but it is the only way to be sure if a small child has a UTI or not. We use the VCUG to look for reflux: if there is reflux, the contrast medium will go up into the ureters, and perhaps the kidneys it the reflux is severe, and this will be visible on the X-rays. UTI is to take a sample of urine and "culture" it: try to grow bacteria from the sample. UTIs are much more common in girls because a girl's urethra is shorter and closer to the anus.

Urinary tract infections during pregnancy | BabyCenter

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