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Urinary tract infection - children - Overview

Alternative Names

UTI - children; Cystitis - children

Definition of Urinary tract infection - children:

A urinary tract infection (UTI) is a bacterial 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:

Most urinary tract infections (UTIs) occur in the lower urinary tract, which includes the bladder and urethra. In most cases, bacteria infects the area, and leads to inflammation.

In boys, UTIs are most common before the first birthday. In young girls, UTIs are most common around age 3, around the time they begin toilet training.

UTIs in children may be caused by problems in the urinary tract, including vesicoureteral reflux -- a problem with a valve in the bladder that allows urine to back up into the ureters and kidneys.

The following increase a child's chance of developing a UTI:

  • Constipation
  • Enlarged bladder
  • Family history of vesicoureteral reflux or kidney disease
  • Fever that keeps returning and has no clear cause
  • Growth (mass) in the abdomen
  • High blood pressure
  • History of UTI
  • Myelomeningocele or other defect of the spine
  • Poor growth
  • Poor urine flow
  • Problems urinating (dysfunctional voiding)
  • Structural problem in the urinary tract
  • Reviewed last on: 9/18/2008
  • 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

Roussey-Kesler G, Gadjos V, Idres N, Horen B, Ichay L, Leclair MD, et al. Antibiotic prophylaxis for the prevention of recurrent urinary tract infection in children with low grade vesicoureteral reflux: results from a prospective randomized study. J Urol. 2008;179:674-679; discussion 679. Epub 2007, Dec 20.

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.

Mori R. Kakhanpaul M, Verrier-Jones K. Diagnosis and management of urinary tract infection in children: summary of NICE guidelines. BMJ. 2007; 335:395-397.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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