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?
- Guest Column
Baseball Hall of Fame evolves, but remains as relevant as ever
I am often asked how the National Baseball Hall of Fame and Museum continues to be successful, year-in and year-out. The answer is simple: relevance. Our methodology to remain relevant is straightforward: preserve history, honor excellence and connect generations.
Guns only dangerous in wrong hands
This is in response to Sam Pollak's column: "Macho, crazy America sticks to its guns." That macho bumper sticker on the back of some guys' vehicle that reads "I shoot first and ask questions later" is an expression just as "I'd rather be judged by 12 than carried by six."
Like it or not, the curriculum needed reform
When we first examined the new Common Core Regents exams this June, we felt a sense of relief, not the distress or feeling of doom that has been played up in the media. "Exciting" is the word that comes to mind to describe how we felt about an exam that attempts to more accurately measure the real-world skills our students practice in class.
Police must crack down on motorcycle noise
Motorcycle noise in New York state is out of control. Most conversations about this end with the comment, "How do they get away with it?"
SAFE Act won't help get the lead out
When legislation is passed in a hurry, there are bound to be unintended consequences. I'm sure the governor and legislators who passed the New York SAFE Act under cover of darkness had good intentions. They wanted to make New York a safer place. In one way, they clearly failed.
- Saturday, June 28, 2014
Sessions' betrayal should live in infamy
On June 13, the Senate passed a bill designed to remedy the long delays veterans endure at the Veterans Administration by giving it extra funds for more clinics and medical personnel.
- Saturday, June 14, 2014
Drilling's future is at stake in state's high court
Last week Jennifer Huntington's request to heat her barns with gas from her own property was heard at the Court of Appeals in Albany.
- Saturday, May 31, 2014
Universal pre-k? Let's work with what we've got
The more education the better right? This is true not just for graduate or Ph.D programs, but at the other end of the spectrum: universal pre-kindergarten.
- Saturday, May 17, 2014
The pipeline is just part of a larger problem
I am opposed to the Constitution Pipeline because if we are to mitigate the worst effects of climate change, we need to stop building yet more infrastructure for fossil fuels.
- Saturday, May 3, 2014
Do all you can to prevent falls for seniors
Falls are a common problem for older adults. Every year one in three adults age 65 and older falls, but less than half of the adults who fall talk to their health-care providers about their falls.
- Monday, April 28, 2014
From the Chief's Desk: Best part of this job is helping others
With this interview below of officer Jeffrey D. Galluser, Oneonta Police Chief Dennis Nayor begins a series of talks with members of the Oneonta Police Department. Gallusser is assigned to the patrol division.
- Saturday, April 12, 2014
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.
Not the 'most perfect village' for the mentally ill
Just when I thought it couldn't get any worse, it did. On April 5, in these pages, I read the sorry tale -- the Bassett Medical Center's 10-bed Inpatient Psychiatry Unit in Cooperstown is closing.
- Saturday, March 29, 2014
The reality of our economy vs. 'what if'
The reality of our regional, indeed national, economy is that it is not sustainable. One has only to look at various indicators of economic health to reach that conclusion.
Don't opt-in for high-stakes testing
If you are the parent of a child in grades 3-8, then you know that the focus of education has shifted to the upcoming state tests in English Language Arts and Math, which start April 1. But did you know that you have the right to refuse these tests on your child's behalf?
- Saturday, March 22, 2014
Constitution will pipe money into local schools
The Constitution Pipeline project will be good for New York state because it will increase critical energy supply infrastructure to bring inexpensive natural gas from Pennsylvania to power homes and businesses. It will also be good for our region of New York state because it will bring natural gas to power Amphenol Aerospace in Sidney, the largest private sector employer between Albany and Binghamton -- with more than 1,000 jobs.
- Saturday, March 15, 2014
Get ready for more tall tales on natural gas
It's comment season again for the Constitution Pipeline. If past is any indication, expect at large, rowdy crowd ranting about exploding pipelines that incinerate kids, ravaged forests, scattered wildlife, spoiled streams and the inevitable apocalypse caused by hydraulic fracturing.
- Saturday, March 1, 2014
State's budget gimmick is hindering schools
Recently, the Margaretville and Roxbury boards of education joined their colleagues across the region and throughout the state in adopting a resolution calling on the state legislature to end the so-called "gap elimination adjustment."
- Saturday, January 25, 2014
The state Board of Regents deserves a shakeup
Last Saturday, despite a blanketing snowstorm, more than a hundred people showed up, some from as far away as Binghamton and Utica, at Oneonta High School for a forum titled, "On the State of Education in New York: Reform and Resistance."
It's no wonder businesses avoid us
Otsego County's gas potential was the subject of a Foothills symposium last Friday. Four gas activists/analysts shared their opinions on geology, production, and industry practice, with a side trip into the usual Doomsday Scenario.
- Baseball Hall of Fame evolves, but remains as relevant as ever