Categories
URINARY TRACT INFECTIONS
Nov 02, 2022
Urinary tract infections are common. They have a varied presentation. Neonates and infants may present with poor feeding, loose stools, dull activity. A toddler or an older child may present with fever, crying on passing urine, pus like urine. Urine infections with high grade fever and urine culture growing bacteria need evaluation. They may indicate an underlying structural anomaly.
The most common cause in a neonate or an infant may be Hydronephrosis or Reflux of Urine. Older children may also voiding dysfunction, phimosis, urinary passage anomalies.
The tests done are:
Complete urine examination (to look for pus cells/ blood in urine),
Urine culture to see if bacteria is present
Ultrasound- to look for any swelling of kidneys or ureter
Micturating cystourethrogram (an X-ray is taken while the child is voiding)- to look for reflux, bladder anomalies, urethral obstruction
Nuclear scan of kidneys- to evaluation function and drainage of kidney (to look for obstruction of urine draining from kidney, to look for any renal damage from infections)
Urodynamic study - to look at how the bladder responds to storage and emptying or urine (if the storage is under pressure, capacity is less)
Some children may need regular monitoring, modification of behaviour. Some children may need surgery to correct the structural anomaly
Dr. Lavanya Kannaiyan
Consultant - Pediatric Surgeon and Pediatric 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
