Health

Urinary tract infections in children

Urinary tract infections in children

May cause permanent kidney damage!

Urinary tract infection in children is one of the most important health problems that need to be taken seriously. Urinary tract infection needs to be investigated, especially in children with high fever of unknown cause.

Urinary tract infection is the most common infectious disease after upper respiratory tract infections in children. Urinary tract infection means inflammation of the kidney and urinary tract. The inflammation of the bladder is called “cystitis” and the inflammation of the kidney is called iyel pyelonephritis.. Acıbadem Health Group Pediatric Nephrology Specialists Dr. Salim Caliskan and Dr. View Gamze's Full Profile P Pyelonephritis is undesirable because the kidney is an organ that is not repaired, bir he warns families, “especially in young children, the kidney is more likely to be damaged because it is a developing organ.”

Reasons

Urinary tract infection is more common in girls. The most important reason for this is that the path that bacteria need to travel for the bacteria to reach the bladder is much shorter. It is possible to take precautions with circumcision in boys who have frequent urinary tract infections. The most important cause of urinary tract infection is bacteria. Professor Dr. Salim Çalışkan says, öncelikle Bacteria primarily settle in the genital area. Erek He then explains the infection: girerek They can then enter the urinary bladder and sometimes up and reach the kidney. In children with urine leakage from the bladder to the kidney, it is easier for bacteria to be transported to the kidney. ”

How to tell?

Urinary tract infection shows different clinical findings depending on the organ involved. However, it is difficult to detect the disease because young children have difficulty explaining their complaints. Dr. Dr. Gamze Bereket emphasizes that gastrointestinal tract symptoms such as vomiting and diarrhea are seen in very young children who have had urinary tract infection: “These symptoms may mask the urinary tract infection. Considering that the chance of kidney damage is higher in this period, the difficulty and importance of the diagnosis of urinary tract infection becomes apparent in young children. Urinary tract infection usually passes without harm, but in some cases it may damage the kidney. Therefore, it is necessary to identify children at risk. Urinary tract infection should be investigated in every young child with fever, especially of unknown cause ”.

How is the diagnosis made?

Urinary tract infection is diagnosed by urine analysis and urine culture. Urine culture results will take a few days to come out of the first stage of treatment according to the results of urine analysis is started. However, urine culture is essential for the primary diagnosis. How urine culture is taken. Dr. Salim Çalışkan explains: çocuk After the genital area is cleaned, the child is asked to urinate. After the child starts to urinate, a urine sample is taken to the urine culture bottle which is kept ready for hand. The purpose of this is to remove the bacteria from the urinary tract and the surrounding area during the first passage of urine. In the case of incontinent children, urine culture is usually obtained by tying the bag. Bacteria around the urinary tract can also grow in culture, which can sometimes cause false reproduction and mislead. For more accurate results, urine collection with a thin catheter is a safe method in children without toilet training.

In addition, the urinary tract and kidneys of every child with urinary tract infection for the first time should be examined by ultrasonography. It may also be necessary to investigate whether these children have urine leakage from the bladder to the kidney. Thus, it can be revealed whether there is a congenital disorder that narrows the urinary tract.

treatment

Bladder inflammation is sufficient for 5-7 days of oral treatment, while kidney inflammation treatment lasts 10 days. Dr. Gamze Bereket explains the treatment as follows: “In fevery young children, treatment is started by injection and the oral condition is continued when the general condition improves. Children with frequent infections and children with bladder leakage should be protected with low-dose antibiotics for a long time. Children with leakage from the bladder to the kidney should be monitored and whether the leakage persists should be determined. Leakage can disappear spontaneously over time. Surgery may be required in patients with persistent leakage and urinary stenosis. ”