Urinary tract infection in children
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- I have a 5 year old girl, about 1 year ago she had a urinary tract infection, I called a specialist and antibiotics were given. In uroculture, the presence of Ecoli and klebsiella were revealed. After treatment the disease recurred 2-3 times, after each treatment the urine no longer presents the germ, but it always recurs. I also took Urovaxon and nothing. What do you advise us?Answer:
The urinary tract infection is a soft entity with a high incidence in the child and which, undiagnosed and not properly treated, has serious repercussions on renal function.
It is defined as the microbial contamination of the urine with over 100,000 germs | ml of urine - a determination that is made from the first urine of the day and is called uroculture. The overall incidence of urinary tract infection in children is between 2-6%, in about 50% of children with recurrent or chronic urinary tract infections, with urological malformations.
diagnosis involves three stages:
The indicated treatment is hygienic-dietetic (proper local hygiene and increased fluid consumption), symptomatic (anti-inflammatory, antispastic and antiallergic) and ethio-pathogenic. The etiological treatment consists of antibiotic therapy depending on the sensitivity of the incriminated germ (antibiogram), structured in three stages, first with the antibiotic in which the germ is most sensitive for 10 days, then with an antibiotic with high elimination in the urine (the most used being biseptol ) for another 10 days and then 10 days a urinary antiseptic (nalidixic acid). The healing is certified by the normalization of the urinary sediment and the negativity of the urocultures.
In practice, corneal urinary tract infections in children will be suspected of being grafted onto a malformative background and as a result it will be investigated accordingly.
Regarding the suffering of your little girl, I advise you to show up in a pediatric or pediatric surgery service where you will perform all the investigations I have told you (ultrasound, urography, cystography, blood and urine tests) to detect the cause of the recurrence of the urinary tract infection and to follow the necessary treatment.
Dr. Dana Paduraru,
Resident doctor in the Pediatric Surgery specialty
Emergency Clinic Hospital for Children "Grigore Alexandrescu"