Urinary Tract Infections
Private and NHS Paediatrician Specialising in Urinary Tract Infections (UTI’s) across the Birmingham, West Midlands area
What is a Urinary Tract Infection (UTI) ?
A Urinary Tract Infection is an infection of any part of your urinary system such as Kidneys, Ureters, Bladder and Urethra. Most infection involve the lower urinary tract.
Some facts about Urinary Tract Infections in Children
Urinary tract infections in children could be a marker of possible urinary tract abnormalities (eg, obstruction, neurogenic bladder, ureteral duplication); these abnormalities are particularly likely to result in recurrent infection if vesicoureteral reflux (VUR) is present. About 20% to 30% of infants and children age 12 to 36 mo with UTI have VUR. The younger the child at the first UTI, the higher the likelihood of VUR. VUR is classified by grade.
Recurrent UTI is clearly associated with VUR, especially VUR of higher grades. This association is likely due to two factors—that VUR predisposes to infection and recurrent infections can worsen VUR. The relative contribution of each factor in children with recurrent UTI is unclear. Children with more severe reflux may have higher risk of developing renal scars, hypertension and renal failure (caused by repeated infection and chronic pyelonephritis), but the evidence is not definitive.
Predisposing factors in younger children include:
- Malformations and obstructions of the urinary tract
- Indwelling urinary catheters
- Inability to empty bladder for any reasons
- In boys, prepuce adhesion’s and lack of circumcision
- Other predisposing factors in younger children include constipation and Hirschsprung disease.
Predisposing factors in older children include:
- In females, sexual intercourse.
- Poor Hygiene, especially around genital area
- Poor Bladder and bowel habit
If you believe your child has a UTI and you would like a second opinion or specialist help and advice then Dr Tewary who is a specialist consultant paediatrician is on hand to help. Contact us today for more information or to book an appointment.