A urinary tract infection (UTI) is an infection
of the bladder and sometimes the kidneys (pylonephritis). It is important
to treat UTI's so that the kidneys are not damaged.
UTI's are caused by bacteria. The bacteria enter the bladder by traveling up
the urethra (the tube that connects the bladder with the outside of the body).
Common irritants are bubble bath, shampoo or remnants of bowel movements. A rare
cause of UTI's (1% in girls and 5% in boys) is obstruction of the urinary tract
that leads to incomplete emptying of the bladder.
Various symptoms may occur with a UTI including:
Painful urination
Frequent urination
Daytime or nighttime wetting
Foul smelling urine
Fever
Stomachaches
Vomiting
It is very important to get a urine sample in order to start the right
antibiotic. The antibiotic will kill the bacteria causing the infection. You
must make sure your child takes ALL the medicine until it is GONE
in order to keep the infection from flaring up again.
You will need to give extra fluids to flush the kidneys (Cranberry Juice
and water are terrific).
If your child runs a fever or is complaining of pain, give acetaminophen
and/or ibuprofen as directed.
2 days after your child begins antibiotics, check with your doctor about
the urine results to make sure your child is on the right medication to kill the
bacteria.
After about 2 weeks, when all the medicine is gone, your child should have
a repeat urine test. Chances are high (50% of cases) that your daughter can
develop a second infection.
PREVENTION:
Wash the genital areas with water not soap.
Do not put bubble bath, shampoo or other soap in the water.
Keep bath time less than 15 minutes. Have your child urinate after baths.
Teach your daughter to wipe herself from front to back, especially after a
bowel movement.
Try not to let your child get constipated.
Encourage plenty of fluids everyday.
Encourage your child to urinate every 3-4 hours during the day. Don't "hold
it" all day long.
Have your child wear loose cotton underwear.
CALL YOUR DOCTOR IF:
Fever or painful ruination continue 48 hours after starting antibiotics