Urinary Tract Infections in Children (cont.)

There are several suggestions that have been made by pediatric urologists to lessen the likelihood of children developing urinary tract infections. These include

1. Hygiene: Wipe females from front to back during diaper changes or after using the toilet in older girls. With uncircumcised males, mild and gentle traction of the foreskin helps to expose the urethral opening. Most boys are able to fully retract the foreskin by 4 years of age.



2. Complete bladder emptying: Some toilet-trained children are in hurry to leave the bathroom. Encourage "double voiding" (urinating immediately after finishing the first void). Children should be encouraged to urinate approximately every two to three hours. Some children ignore the sensation of a full bladder in the desire to continue to play.



3. Avoid the "4 C's": carbonated drinks, high amounts of citrus, caffeine (sodas), and chocolate. Some kidney specialists are not as adamant about this option.



4. Avoid bubble baths: Some renal specialists also view this recommendation with skepticism.



5. Encourage cranberry juice: Similar to the above "4 C's," some specialists view this suggestion as folklore.



6. Prophylactic antibiotics: Daily low-dose antibiotics under a doctor's supervision may be used in children with recurrent UTIs or in those with anatomic or physiologic factors that predispose to UTIs.

• Childhood urinary tract infections are fairly common and are generally caused by bacteria. Routine antibiotic therapy is successful in resolving these infections.
• Recurrent UTIs in children may be indicative of malformation or malfunction of the urinary tract.
• Common symptoms and signs of UTIs in children include pain and urgency with urination, blood in the urine, abdominal/pelvic pain, fever, flank pain, and vomiting.
• Some selected children who experience a UTI should have diagnostic studies performed. These children include children less than 2 years of age, any male child, any child who has had more than one UTI or any child who has had pyelonephritis.
• Several recommendations exist to help lessen the likelihood of a child developing a UTI.

REFERENCES:

American Academy of Pediatrics. "The Diagnosis, Treatment and Evaluation of the Initial Urinary Tract Infection in Febrile Infants and Young Children." Pediatrics 103.4 Apr. 1999: 843-852.

Elder, Jack S. "Urinary Tract Infections." Nelson Textbook of Pediatrics. 18th ed. Philadelphia: Saunders, 2007.

Last Editorial Review: 2/1/2010 5:57:10 PM

Source: MedicineNet.com
http://www.medicinenet.com/urinary_tract_infections_in_children/article.htm