Urinary infections in children are the most common, and are associated with about 7-10% of these cases heat without reason. Symptoms of urinary infections vary, depending on the age of the child, so it is sometimes difficult to know what a child is experiencing and to diagnose his condition, especially if he is in his first months. What are the causes of urinary infections in children? How can they be diagnosed and treated? When will these infections become a serious indicator of medically mediated intervention and search for the main cause behind these recurrent infections?
"Urinary infections are one of the most common health problems in children, and it is sometimes difficult for parents to know this, especially if they are not accompanied by another symptom other than the temperature, or if the child is a child," said Bilal Aoun, a specialist in pediatric kidney diseases at the American University Hospital in Beirut. At a young age unable to express It is therefore very important attention to any viewer, because it may be an indication of the presence of inflammation of urine, and we will divide the symptoms by age group:
* First month: yellowing without any other reasons may be an indication of urinary incontinence, insufficient eating, insufficient growth.
* 3 months: No symptoms except heat.
* Between 2-3 years: high fever and vomiting.
Aoun divides urinary infections into:
1. In the bladder (Cystitis)
In this case there is no average heat or heat below 38.6. If the child is of age, he may suffer from these symptoms:
* Fire in the urine
* Count Paul
* Bad smell in the urine
* Bedwetting
* Blood in urine
2 - in the kidney (Pyelonephrite)
This condition is often associated with fever (above 38.5) with other symptoms such as vomiting, abdominal or back pain, as well as the symptoms of urinary infections in the bladder.
It should be noted that 99% of urinary infections are the result of E. coli bacteria, the main cause of infection in addition to other bacteria such as: Proteus mirabilus, klebsiella, pseudomonas.
"Urinary infections are one of the most common health problems in children, and it is sometimes difficult for parents to know this, especially if they are not accompanied by another symptom other than the temperature, or if the child is a child," said Bilal Aoun, a specialist in pediatric kidney diseases at the American University Hospital in Beirut. At a young age unable to express It is therefore very important attention to any viewer, because it may be an indication of the presence of inflammation of urine, and we will divide the symptoms by age group:
* First month: yellowing without any other reasons may be an indication of urinary incontinence, insufficient eating, insufficient growth.
* 3 months: No symptoms except heat.
* Between 2-3 years: high fever and vomiting.
Aoun divides urinary infections into:
1. In the bladder (Cystitis)
In this case there is no average heat or heat below 38.6. If the child is of age, he may suffer from these symptoms:
* Fire in the urine
* Count Paul
* Bad smell in the urine
* Bedwetting
* Blood in urine
2 - in the kidney (Pyelonephrite)
This condition is often associated with fever (above 38.5) with other symptoms such as vomiting, abdominal or back pain, as well as the symptoms of urinary infections in the bladder.
It should be noted that 99% of urinary infections are the result of E. coli bacteria, the main cause of infection in addition to other bacteria such as: Proteus mirabilus, klebsiella, pseudomonas.
Causes of non-congenital urinary infections
A specialist in pediatric kidney disease at the American University of Beirut hospital points out that "the majority of bacteriostats come:
- from the intestine in women due to anatomical components caused by the lack of cleanliness of the child well or by friction or touch (cleaning is not correct, the right way is from front to back and not vice versa).
- Restrict urine and lack of regular access to the toilet (urination irregular).
- Use a foam soap or sit at length in the bathtub because this leads to exposure to inflammation.
As for the ethical reasons are represented by Aoun B:
Congenital problems caused by kidney or urinary system problems.
- Urinary refraction in the direction of kidneys (and be treated according to degrees).
- Genetic causes where some children are more susceptible than others to urinary infections.
Some factors also play a role in increasing the risk of infection, including:
* Constipation
* Restrict urine
* Not drinking enough water
Diagnosis by age
Aoun recommends that urine tests be conducted to ensure that there are no urinary infections in cases where there is fever without other symptoms, but for children who pass, it is possible to confirm the presence of a smell in the urine, fire or blood in the urine and the examination is able to determine the possibility of inflammation. On the one hand, blood tests determine the presence of infections in the case of:
* A rise in white blood cells or a rise in CRP examination and another more accurate examination of proccalcitonin kidney infections in addition to urine examination and implantation to determine the type of germ. However, pending the outcome (3-5 days) we start an antibiotic treatment.
Aoun points out that if there is a kidney infection, please take a picture. If you have problems with your kidneys or urethra, you should take a VCUG test to check for urinary incontinence.
What about treatments?
Treatment varies according to the specialist in kidney diseases in children at the American University Hospital in Beirut depending on the problem responsible for urinary infections and is divided into:
* Bladder Infections: We give medicine in the mouth for 5-7 days.
* Kidney infections: Under 3 months treatment is in sweat, after 3 months we give treatment at home if the child is in good health and eat well. If he is not in good health, we are given treatment in the hospital.
Cranberry treatment: Some studies have shown the effectiveness of cranberries in the treatment of urinary inflammatory in the bladder.
* Urinary rebound to kidneys: treatment varies by degree:
- If the regression in the first and second: Medical studies have shown that if we gave the medicine or did not give it the result is one.
- In the third and fourth and fifth: We give the beginning of medication to avoid urinary infections, in the event of failure treatment we resort to surgery according to the age of the child.
Aoun stresses that it is advisable to conduct a nuclear examination DMSA Scan in the event of repeated kidney infections, to ensure the absence of scars on the kidneys in addition to confirm the function of the kidney. The sooner the medical intervention, the more we avoid the health complications.
What are the complications of urinary infections?
Frequent infections lead to health complications on the patient, the most important of which are:
* Scars on kidneys.
* High blood pressure in the future.
Protein in urine (albumin).
Chronic renal failure (rare cases) if diagnosis and treatment are not done correctly.
Treatment varies according to the specialist in kidney diseases in children at the American University Hospital in Beirut depending on the problem responsible for urinary infections and is divided into:
* Bladder Infections: We give medicine in the mouth for 5-7 days.
* Kidney infections: Under 3 months treatment is in sweat, after 3 months we give treatment at home if the child is in good health and eat well. If he is not in good health, we are given treatment in the hospital.
Cranberry treatment: Some studies have shown the effectiveness of cranberries in the treatment of urinary inflammatory in the bladder.
* Urinary rebound to kidneys: treatment varies by degree:
- If the regression in the first and second: Medical studies have shown that if we gave the medicine or did not give it the result is one.
- In the third and fourth and fifth: We give the beginning of medication to avoid urinary infections, in the event of failure treatment we resort to surgery according to the age of the child.
Aoun stresses that it is advisable to conduct a nuclear examination DMSA Scan in the event of repeated kidney infections, to ensure the absence of scars on the kidneys in addition to confirm the function of the kidney. The sooner the medical intervention, the more we avoid the health complications.
What are the complications of urinary infections?
Frequent infections lead to health complications on the patient, the most important of which are:
* Scars on kidneys.
* High blood pressure in the future.
Protein in urine (albumin).
Chronic renal failure (rare cases) if diagnosis and treatment are not done correctly.
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