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Urinary tract infections (UTIs) are common in young children. These infections can lead to serious health problems. UTIs may go untreated because the symptoms may not be obvious to the child or the parents. The following is information from the American Academy of Pediatrics about UTIs—what they are, how children get them, and how they are treated.

The urinary tract

The urinary tract makes and stores urine. It is made up of the kidneys, ureters, bladder, and urethra (see illustration). The kidneys produce urine. Urine travels from the kidneys down 2 narrow tubes called the ureters to the bladder. The bladder is a thin muscular bag that stores urine until it is time to empty urine out of the body. When it is time to empty the bladder, a muscle at the bottom of the bladder relaxes. Urine then flows out of the body through a tube called the urethra. The opening of the urethra is at the end of the penis in boys and above the vaginal opening in girls.

Urinary tract infections

Normal urine has no germs (bacteria). However, bacteria can get into the urinary tract from 2 sources: (1) the skin around the rectum and genitals and (2) the bloodstream from other parts of the body. Bacteria may cause infections in any or all parts of the urinary tract, including the following:

UTIs are common in infants and young children. The frequency of UTIs in girls is much greater than in boys. About 3% of girls and 1% of boys will have a UTI by 11 years of age. A young child with a high fever and no other symptoms has a 1 in 20 chance of having a UTI. Uncircumcised boys have more UTIs than those who have been circumcised.

Symptoms

Symptoms of UTIs may include the following:

Diagnosis

If your child has symptoms of a UTI, your child's doctor will do the following:

Your child's doctor will need to test your child's urine to see if there are bacteria or other abnormalities.

Ways urine is collected

Urine must be collected and analyzed to determine if there is a bacterial infection. Older children are asked to urinate into a container.

There are 3 ways to collect urine from a young child:

Your child's doctor will discuss with you the best way to collect your child's urine.

Treatment

UTIs are treated with antibiotics. The way your child receives the antibiotic depends on the severity and type of infection. Antibiotics are usually given by mouth, as liquid or pills. If your child has a fever or is vomiting and is unable to keep fluids down, the antibiotics may be put directly into a vein or injected into a muscle.

UTIs need to be treated right away to

Infants and young children with UTIs usually need to take antibiotics for 7 to 14 days, sometimes longer. Make sure your child takes all the medicine your child's doctor prescribes. Do not stop giving your child the medicine until the child's doctor says the treatment is finished, even if your child feels better. UTIs can return if not fully treated.

Follow-up

If the UTI occurs early in life, your child's doctor will probably want to make sure the urinary tract is normal with a kidney and bladder ultrasound. This test uses sound waves to examine the bladder and kidneys.

In addition, your child's doctor may want to make sure that the urinary tract is functioning normally and is free of any damage. Several tests are available to do this, including the following:

Remember

UTIs are common and most are easy to treat. Early diagnosis and prompt treatment are important because untreated or repeated infections can cause long-term medical problems. Children who have had one UTI are more likely to have another. Be sure to see your child's doctor early if your child has had a UTI in the past and has fever. Talk with your child's doctor if you suspect that your child might have a UTI.

The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

© 2010 American Academy of Pediatrics, Reaffirmed 01/2017. All rights reserved.