The Portland Hospital, 234 Great Portland Street, London, W1W 5QT
The Portland Hospital, 234 Great Portland Street, London, W1W 5QT
Urinary tract infection can be awful for the child and very worrying for the parents. Babies and infants do not demonstrate the usual symptoms of UTIs, present with high fever and irritability and frequently are diagnosed after a number of days.
Mostly oral antibiotics are required but sometimes your child needs to be hospitalised for intravenous antibiotics. However even when your child has recovered they will still require investigation to check there is no underlying cause for the infection.
Here at London Children’s Surgery we have a sensible recognised program to investigate your child. If we can avoid a stressful test for your child we will do everything possible to do so. Our aim is to keep your child happy and healthy and to demonstrate to you what caused the infection and what we can do to prevent them occurring again.
In younger children it can be very difficult to determine any symptoms for urinary tract infection. In older children they can present with the more classical symptoms of urinary tract infection just as pain, high fever, fowl smelling urine, pain on voiding, frequency, rushing to the toilet and urinary incontinence.
Urinary tract infection is really common in children. The vast amount of UTI generally occurs within the bladder and a small number occur within the kidney. The most commonly found bacterium to cause infection within the bladder is Escherichia coli (E. coli).
A vast majority of children are suitable to be treated with antibiotics, however further investigations maybe required. Investigations that are useful can be, depending on the child and the symptoms, are at least an ultrasound scan. Occasionally a bladder function assessment which is a non invasive bladder ‘MOT,’ a DMSA scan which is a nuclear medicine test which will identify kidney scarring and occasionally a micturating cystourethrogram (MCUG) is useful for determining what the internal anatomy is like.
Urinary tract infections can be quite problematic for children. If the infection moves the bladder to kidneys, they can cause significant damage. The child could have prolonged sickness and stay in hospital. The kidney tissue itself can be damaged and the overall function of that kidney can be reduced. The child could also become septic. Some children, when they have complex urinary anatomy, may have urinary tract symptoms or urinary tract infection and have a negative urinary test. In that situation it would be very wise to perform an ultrasound scan.
Copyright © 2024 London children’s surgery. All rights reserved.
The contents on this site is for information only, and is not meant to substitute the advice of your own physician or other medical professional.