Categories
Refractory Urinary Tract Infection
Oct 31, 2022
Refractory Urinary Tract Infection is quite common and many children suffer from this. The symptoms are quite prominent and are as follow :
Persistent symptoms of urgency (wanting to pass urine urgently)
Frequency (passing urine often),
Dysuria (pain on passing urine),
Low grade fever or recurrent fever
It is very important to evaluate the child thoroughly by looking at the start of symptoms, including antenatal history, food habits, bowel and bladder habits, screen time, physical activity. It is important to examine the child looking at the abdomen for any swelling, examining their external genital to look for any abnormality and including an examination of the spine.
Investigations may be repeated such as urine culture (sample take by catherization or bladder aspiration), ultrasound (to look for kidney swelling, bladder thickness, urine remaining after voiding). Other tests such as MCUG, EC scan, urodynamic study may be done as per requirement. Sometimes the child may need an evaluation under general anesthesia including a cystoscopy with an instrument with a light camera are passed into the urinary passage and bladder.
The treatment involves improving bowel bladder habits – starting with regulating sleep cycle, passing stools in the morning, passing urine regularly, drinking plenty of fluids. Adequate antibiotics should be used and the course must be completed without fail. Some children may require a short duration of prophylactic antibiotics at night until the symptoms improve.
The child must be taught to pass urine every 2-3 hours and empty their bladder to the last drop. Some children may need medication to improve the bladder muscle function. Very rarely the bladder function may be abnormal leading to high pressures in the bladder and thus cause kidney damage. Such children may need additional treatment like catherization, surgery to protect the kidneys.
During such conditions, the pediatric urology team (including the pediatric nephrologist) must work with the child and the parents to improve the quality of life and protect the kidneys.
To know more visit bit.ly/32K4k0Q.
To book an appointment visit bit.ly/3KPzTHN
Dr. Lavanya Kannaiyan
Consultant - Pediatric Surgeon & Urologist
Rainbow Children's Hospital, Banjara Hills
Related BlogView More
Do Children Get Cancer?
Cancer is often thought to be a disease of adults. Unfortunately, cancers are also seen in children but what is fortunate is the treatment and outcomes. Yes, most of the cancers in children are curable if treated effectively with adequate supportive care.Globally around
Why vaccination is more important in preterm neonates?
Preventing infectious illnesses in newborns and children, including preterm neonates, requires vaccinations. 10% of Indian births are preterm less than 37 weeks gestation (WHO,2023). Premature babies may have compromised immune systems. Premature newborns are more prone
Bone Marrow Transplant
బోన్ మ్యారో ట్రాన్స్ ప్లాంట్!మోకాలిలో కీళ్లు అరిగిపోతే కొత్త కీలు పెట్టి రీప్లేస్ మెంట్ చేస్తున్నారు.
Cerebral Palsy
ప్రతి 1000 జననాలలో మూడు> సెరిబ్రల్ పాల్సీ (మస్తిష్క పక్షవాతము)తో బాధపడుతూ ఉంటారు• భారతదేశంలో 25 లక్షల మం
