How common are urinary tract infections in girls?
According to an article in Urologic Clinics of North America, 7 percent of girls and 2 percent of boys have had a UTI before age 6.
Studies show that girls are slightly more prone to get UTIs than boys of the same age. UTIs are most common in girls 3 to 6 years old, though children of any age who have anatomic anomalies, children who are toilet training who do not wipe properly after using the toilet and those who have diabetes are more likely to get UTIs. Older girls who are sexually active are also predisposed to get UTIs.
What are the symptoms of UTI?
Fever is common and temperatures greater than 102.2 degrees are more likely with UTIs. Irritability, tiredness, vomiting, pain on urination, or abdominal pain can occur. Infants may not want to take the normal amount of formula or fluids. In very young infants, some may have poor weight gain as the only sign. Sometimes bedwetting or daytime accidents may occur in children who were previously toilet trained.
In general, what causes UTIs?
Bacteria can cause urinary tract infections. In 40 percent of patients with urinary tract infections and fever, who had a special study of the kidney called VCUG, findings have shown that there was evidence of vesicoureteral reflux, which means urine is not passing through the urinary tract to the bladder normally. So, urine may "reflux" back up instead of being excreted out of the body.
Why are UTIs sometimes a recurring problem?
In 20 percent of patients, UTI can recur, regardless of an abnormal anatomy of the urinary tract. When reflux is present, the patient is more likely to have a recurrent urinary tract infection since bacteria are able to enter parts of the ureters and kidney that should remain sterile. Occasionally, abnormalities of the bladder can cause it to not empty properly and cause bacterial growth. Children who are constipated may have improper bladder emptying, which can predispose them to infections.
What is the treatment?
Oral antibiotics are used, and physicians will choose medications based on the bacteria. Doctors use urine cultures to help them ensure that the particular bacteria is susceptible to the chosen antibiotic.
Children who are not able to take oral antibiotics or those with lethargy, difficulty breathing, decreased appetite or vomiting and who appear ill or very young infants may need intravenous (IV) antibiotics. Some children who have resistant organisms in their urine may need IV antibiotics to treat resistant bacteria.
Some children who have an anatomic reason for the UTI may need to take a low dose antibiotic to prevent recurrent infection and scarring of the kidney. Studies are being done to evaluate the use of antibiotics to prevent UTIs in children and in some cases prophylactic antibiotics may not be necessary.
What behavioral or lifestyle changes can help prevent UTIs?
Various recent studies on use of concentrated cranberry juice have demonstrated some preventive benefits, but cannot be used to replace antibiotic treatment when needed. Good hygiene helps in girls. Also avoidance of constipation can help promote normal bladder emptying to prevent infections.
Dr. Linda M. Lukose is a pediatrician at Bassett Healthcare Network.
How common are urinary tract infections in girls?
- Big Chuck D'Imperio
Let's put a check on 'check engine' light
The absolute worst thing that can befall a driver happened to me on the way to work this morning. The one singular auto event that can send shivers of fear and panic up the spine of even the most seasoned road warrior.Continued ...
- Keep those cards and letters coming in, folks
- 1965 Oscars? Thanks for the memories
- There was just no telling about snow days
- And the music goes round and round
- Let's put a check on 'check engine' light
- Cary Brunswick
Government lost trust by spying on us
Flaws in that little padlock on people's supposedly secure Internet sites have sent users in recent days scrambling to change passwords and question whether they should keep providing sensitive information in their online interactions.Continued ...
- History hurts our credibility on Crimea
- Hardships, repression, don't get Cubans down
- It's time for warmer relations with Cuba
- Unconventional events changed my outlook
- Government lost trust by spying on us
- Chuck Pinkey
- Guest Column
The anti-pipeline crowd won't win
At the Federal Energy Regulatory Commission's hearing in Oneonta on April 1, the antis continued their obstruction of anything fossil-fuel related.Continued ...
- Not the 'most perfect village' for the mentally ill
- The reality of our economy vs. 'what if'
- Don't opt-in for high-stakes testing
- Constitution will pipe money into local schools
- The anti-pipeline crowd won't win
- Lisa Miller
A view from above
Fire towers in the Catskill Mountains have always been destination points, built to capture some of the region’s best views. These sentinel stations served an important role for the earliest possible sightings of forest fires in the remote mountain ranges. But the fire towers and those who manned them fulfilled a multitude of other roles as well.Continued ...
- Being a parent is a constant learning process
- Healthy doesn't have to mean expensive
- A family era ends with close of Potter series
- Independent stores make up for loss of Borders
- A view from above
- Mark Simonson
Signs of springtime in Oneonta arrived in April 1889
Spring was in the air as Oneontans turned over their calendars to April in 1889. Muddy streets, the start of construction projects, clothing styles and other visible signs made it clear that warmer weather was more the norm than a novelty in Oneonta 125 years ago.Continued ...
- Student housing stirred unrest in 1970s
- Oneonta reveled in spring 'Dress Up Week' in 1919
- Proposed change to Delaware County Community College rejected in 1959
- Area heartily welcomed home troops from WWI
- Signs of springtime in Oneonta arrived in April 1889
- Rick Brockway
Gilbert Lake brings back fond memories
A friend posted on Facebook some pictures of him and his daughter fishing at Gilbert Lake.
- Frog legs always a neat treat
- You never know what you're going to see on the slopes
- Chestnuts are making a comeback
- Fishing is all about being in the right place at the right time
- Gilbert Lake brings back fond memories
- Sam Pollak
Mr. Adelson disturbs my 'ghetto mentality'
This Sheldon Adelson guy makes me very nervous.Continued ...
- A minority group that's getting out of hand
- Religion should be a comfort, not a weapon
- The world must think we're nuts
- Mistakes easy to take ... if they're not yours
- Mr. Adelson disturbs my 'ghetto mentality'
- William Masters
Schreibman tops Chris Gibson on women's issues
As the time to vote draws near, we need to remember how money can run politics more than we can. Raising funds is a prominent (if not the dominant) task of getting elected. Raising issues is also crucial, but those efforts are subject to distortion and fear-mongering.
Republicans feelentitled to allthey can garner
An entitlement is a legal benefit available from the government to individuals who are within a defined category of recipients, such as needing insurance for unemployment or health services.
Romney focuses on self; Obama emphasizes unity
Mitt Romney criticizes President Obama for saying a person's success is rooted in his community, and is not all his alone. Romney belittles this with his belief in individual initiative. He is better at the put-down than the push-up.
Romney shows little regard for common man
The Republicans in Congress have voted over and over, 33 times, redundantly and uselessly, to rescind what they call Obamacare.
Scouts' gay ban creates problem where none exists
The Boy Scouts of America's "emphatic reaffirmation" of its vow to exclude any and all homosexuals from its hallowed ranks is ill-considered and pathetic, especially in view of its having reviewed the matter for two years.
- Schreibman tops Chris Gibson on women's issues