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
There's no tough sledding when you're a youngster|
Winter weather is here. And so are outdoor winter activities.Continued ...
- Vroman's Nose hike is no walk in the park
- Being a grandpa will be better than just OK
- Some hits from the soundtrack of my life
- Some book picks from an avid reader
- There's no tough sledding when you're a youngster|
- Cary Brunswick
Instead of boycotting, buy locally
Buy Nothing Day, that international day of protest against rampant consumerism, is traditionally reserved for Black Friday in the United States and for the next day, Saturday, in other countries.Continued ...
- Don't expect high scores from hungry students
- Obama's stuck between a rock and a hard place
- Common Core had little input from educators
- This shutdown stuff is making me nauseated
- Instead of boycotting, buy locally
- Chuck Pinkey
- Guest Column
Attitudes are changing on gas drilling
With elections over, the candidate lawn signs are gone. Otsego's permanent signage has once again returned. "For Sale" signs have reclaimed the lawns -- people attempting to sell and leave.Continued ...
- Balancing the city budget on kids' backs
- Dude, where's my socioeconomic class?
- Congress playing hunger games
- Election choices: what are they, really?
- Attitudes are changing on gas drilling
- 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
Oneonta's Foreign Exchange Student Program got green light 55 years ago
"A foreign exchange student, attending classes at Oneonta High School, looms somewhere near in the future."Continued ...
- It could be difficult to get around Oneonta in late 1888
- Professional basketball exhibitions played at armory
- Railroad, related developments expanded Oneonta in 1863
- Famous hobo discouraged youths from becoming wanderers
- Oneonta's Foreign Exchange Student Program got green light 55 years ago
- Rick Brockway
Gray squirrels bring back some fond memories
I was on my hill sitting in a tree stand about a month ago when a large, gray squirrel ran across a branch not far from me. I was actually surprised. There hasn't been a gray squirrel in my woods for many years, at least none that I've seen. I watched him go from branch to branch and then down the trunk of a large, red oak tree.
- Whitetail bucks are as smart as they come
- DEC makes deer season even better
- If you happen to come across a lynx, the DEC wants to know
- It's the right time to hunt, but you won't be alone
- Gray squirrels bring back some fond memories
- Sam Pollak
The feds still aren't coming for your guns
"Tuck this column you wrote away in your scrapbook ... it will one day prove to be a source of great embarrassment for you."Continued ...
- 50 years can't fade a day to remember
- Getting robbed of my untapped potential
- Here's what I've learned about the next generation
- I blame the liberals for America's mess
- The feds still aren't coming for your guns
- 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