Guidelines for care and detection of children with urinary tract infections

This is an automatically translated article.

Posted by Nurses Khuat Thi Yen and Vu Thi Phuong - Pediatric Emergency Unit, Vinmec Times City International General Hospital.

Urinary tract infection is a bacterial infection in the presence of bacteria in the urine. Urinary tract infections, if detected early, can be treated easily without leaving sequelae. On the contrary, if detected, it can cause complications such as sepsis, nephritis, eventually leading to kidney failure.

1. Classification of urinary tract infections


Classification by location: Upper urinary tract infections and lower urinary tract infections. Classification by course: Uncomplicated urinary tract infections (acute urinary tract infections) and complicated urinary tract infections (chronic urinary tract infections). Classification according to the degree of recurrence: Individual UTIs (first urinary tract infection, or recurrent urinary tract infection as early as 6 months after the first urinary tract infection); Recurrent urinary tract infections (recurrent urinary tract infections: are urinary tract infections that recur within 2 weeks of discontinuation of antibiotics, isolates as the primary causative organism; Urinary tract infection re-infection: is a urinary tract infection that reappears a long time after the first urinary tract infection, the bacteria causing the disease are different from the original bacteria strain.

2. What are the causes of urinary tract infections?


Urinary tract infections are most common in infants up to 5 years of age.
There are many causes of urinary tract infections such as:
E-coli bacteria and some parasites or bacteria, viruses; Due to the structure of the genitals (especially in girls due to the structure of the urethral openings, the genitals and anus are close together), when cleaning can accidentally cause infection upstream; Due to malformations of the urinary tract (found in boys); Due to using diapers for a long time (in infants, young children); Due to the child sitting on the floor or poor hygiene conditions; Due to the habit, holding urine and drinking less water of kindergarten age.

Sử dụng bỉm để thời gian lâu là nguyên nhân gây bệnh nhiễm khuẩn tiết niệu
Sử dụng bỉm để thời gian lâu là nguyên nhân gây bệnh nhiễm khuẩn tiết niệu

3. What are the main symptoms of urinary tract infections?


The manifestations of the disease in children are often more subtle than in adults. Depending on the age and degree of inflammation, the clinical manifestations of the disease will be different:
Mild/high fever or prolonged fever; Some cases of hypothermia; Children crying, anorexia, vomiting; Diarrhea of ​​unknown cause; Pain when urinating, frequent urination, painful urination, urinating many times a day; Blood in urine; The urine is cloudy, with a strong odor.

4. Notes when caring for and preventing children from UTIs at home?


Comply with the doctor's prescription; Proper hygiene of the "private area" of the child should be done daily, from front to back to avoid bacteria entering the urinary tract, especially in girls; Change diapers regularly to avoid infection from diapers into the baby's urinary tract; Add enough water daily for children; Give children a variety of foods, enough nutrients, lots of green vegetables and fresh fruits; Avoid letting children hold their urine for a long time because they are too busy playing, practice letting them urinate at appropriate times before and after going to bed; Pay attention when boys urinate, if the foreskin is swollen and difficult to urinate, it is necessary to take the child to the doctor immediately; When detecting that the child has anatomical abnormalities of the urinary system, it is necessary to visit the doctor and let the doctor have a treatment against urinary tract infections caused by stagnant urine flow.

Nên vệ sinh từ trước ra sau tránh để vi khuẩn xâm nhập vào lỗ tiểu nhất là ở các trẻ gái
Nên vệ sinh từ trước ra sau tránh để vi khuẩn xâm nhập vào lỗ tiểu nhất là ở các trẻ gái

Pediatrics Department - Vinmec International General Hospital is the address for examination and treatment of diseases that infants and young children are susceptible to. With modern equipment, sterile space, minimizing the impact as well as the risk of disease spread. Along with that is the dedication from experienced and professional doctors, making the examination no longer a concern of the parents.
To register for examination and treatment at Vinmec International General Hospital, you can contact to register online HERE.
Share
Patients Stories