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Urinary tract infection - children - Overview

Alternative Names

UTI - children; Cystitis - children; Bladder infection - children; Kidney infection - children; Pyelonephritis - children

Definition of Urinary tract infection - children:

A urinary tract infection (UTI) is an infection of the urinary tract. This article discusses UTIs in children.

The urinary tract includes the:

  • Bladder
  • Kidneys
  • Ureters -- the tubes that take urine from each kidney to the bladder
  • Urethra -- the tube that empties urine from the bladder to the outside

See also:

Causes, incidence, and risk factors:

Urinary tract infections (UTIs) can occur when bacteria find their way into the bladder or the kidneys. These bacteria are normally found on the skin around the anus or sometimes around the vagina.

Normally, there are no bacteria in the urinary tract itself. However, certain things can make it easier for bacteria to enter or stay in the urinary tract. These include:

  • A problem in the urinary tract, called vesicoureteral reflux, which is usually present at birth. This condition allows urine to flow back up into the ureters and kidneys.
  • Brain or nervous system illnesses (such as myelomeningocele, spinal cord injury, hydrocephalus) that make it harder to empty the bladder
  • Bubble baths or tight-fitting clothes (girls)
  • Changes or birth defects in the structure of the urinary tract
  • Not urinating (peeing) often enough during the day
  • Wiping from back (near the anus) to front after going to the bathroom. In girls, this can bring bacteria to the opening where the urine comes out.

UTIs are more common in girls, especially around age 3 when they first begin toilet training. In boys who are not circumcised, the risk for UTIs is slightly higher before the first birthday.

  • Reviewed last on: 8/4/2011
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

White B. Diagnosis and treatment of urinary tract infection in children. Am Fam Physician. 2011;83:409-415.

Williams G, Craig JC. Long-term antibiotics for preventing recurrent urinary tract infection in chidlren. Cochrane Database Syst Rev. 2011 Mar 16:(3):CD001534.

Craig JC, Simpson JM, Williams GJ, et al. Antibiotic prophylaxis and recurrent urinary tract infection in children. N Engl J Med. 2009 Oct 29;361(18):1748-59.

Skoog SJ, Peters CA, Arant BS Jr, et al. Pediatric Vesicoureteral Reflux Guidelines Panel Summary Report: Clinical Practice Guidelines for Screening Siblings of Children With Vesicoureteral Reflux and Neonates/Infants With Prenatal Hydronephrosis. J Urol. 2010 Sep;184(3):1145-51.

Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER. Does this child have a urinary tract infection? JAMA. 2007;298:2895-2904.

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