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Urinary tract infection in children, symptoms and treatment
The
inflammation of the urinary tract «Urinary Tract Infection», or short
(UTI) months from the diseases that affect children, and cause trouble
for them and worry parents. And being almost 2 per cent of males and 8 per cent of females at least once a urinary tract infection in childhood. Is
also a disease of the most important reasons why teens, especially
girls, (where the urethra is shorter in girls), attending the outpatient
clinic of the urinary tract.
Infection and inflammation
*
Www known that the urinary system consists of the kidneys (which Working
composition of urine), and ureters (a tube reaching the urine from the
kidneys to the bladder), and bladder (a vesicle to collect urine), and
finally the urethra (the tube that carries urine from the the bladder to outside the body).
Infection
and be on three types of infections, inflammation, either in the upper
part of the urinary system (glomerulonephritis pyelonephritis), or
inflammation in the lower urinary tract (cystitis cystitis), and
sometimes (inflammation of the urethra urethritis).
The urine contains salts, as well as substances that the body get rid of them, but it does not contain bacteria. The infection occurs when bacteria and the arrival of Paul, either through the skin around the genitals or through the blood.
The
infection of urinary tract infection is simple and can be treated
easily, but if not addressed as soon as they occur and they leave enough
complications may lead to damage to the kidney, especially in children
under the age of two years. In
a child is likely that high temperature, and contains analysis of the
urine has pus on even in the absence of any other symptoms of
inflammation in the injured kidneys, especially children under the age
of a year.
Causes of
* The incidence of bacteria, primarily responsible for urinary tract infection. Among
the most famous microbes that cause these infections is the microbe (E.
coli E coli), a microbe found naturally in the intestines, and
sometimes found on the skin around the rectum or vagina in girls. Can
be an infection in the infant when the mother clean the skin of the
baby after urinating, using a towel, as it is cleared in the direction
of the back (near the anus) to the front (close to the urethra), and if I
have the bacteria from reaching the urethra can be then up to the bladder, and from there to the kidneys, and cause inflammation. The «E. coli» responsible for about 75 to 90 per cent of the injuries.
There
are other types of bacteria can cause inflammation, such as Klebsiella, and also can cause inflammation in the
incidence of fungi, and in very rare cases can be a viral infection.
In
some infants and young children, occurring inflammation frequently,
sometimes for a defect in functional urinary tract (vesicoureteral
reflux) make the urine going in the reverse direction from the bladder
to the ureters to the kidneys, and can see this dysfunction by injecting
the child dye certain time up through the tube to the bladder , then filmed during urination and follow up the urethra «Voiding Cystourethrography».
Symptoms
*
A rise in temperature with the presence of other symptoms related to
the process of urination, and sometimes without symptoms. Nearly
5 per cent of children who are at higher their temperature without the
presence of another reason for the rise, from inflammation of the
bladder. It can also cause chills.
* Be a strange smell of urine.
* Child crying during urination. In
older children, he spoke in an urgent desire to urinate with a small
amount of urine, and also spoke burning during urination, and pain can
occur.
* The presence of blood in the urine.
* The child is suffering continuously and unexplained lack of feeling comfortable.
* Refuses to breast-feeding or eating.
* Happens vomiting and general weakness.
* Can be a pain the lower abdomen.
Diagnosis and treatment
*
Depends on the doctor to know the symptoms of the mother or child, as
well as the mother is asked about family history of similar cases, where
the genes may play a factor in the injury and the diagnosis is based
on:
*
Urine collection and analysis and farm work: to show the presence of
pus, as well as to determine the quality of the microbe that causes the
inflammation to be described to him the appropriate antibiotic.
*
Work-ray television: the urinary tract (kidney, ureter, bladder), which
must be performed routinely in children with high fever without
apparent cause of the age of two months and even years, as recommended
by the American Academy of Pediatrics.
It includes treatment of urinary tract infection to:
*
Home treatment, since most cases of urinary tract infections that do
not occur by complications, which are diagnosed properly, can be treated
at home. The
treatment is given antibiotics either according to the results of urine
culture, or to begin treatment immediately to avoid complications,
because the farm urine takes about 48 hours, and if the farm showed a
different microbe can change the antibiotic. In
the most likely is the use of an antibiotic and a wide area by
injection, divided dose twice at first, then can be completed treatment
through the mouth after that and almost not cure infection completely
within ten days or two weeks, and must comply with treatment even if the
improvement of the child within 3 or 4 days in order to ensure a full recovery.
It can also give the child some painkillers to ease the pain felt by the child during urination. The analysis must be done Paul and make a farm after treatment to ensure healing.
Therapy
in the hospital, in the case of complications can remedy the situation
within the hospital and patients who need to book at the hospital were:
* Children who suffer from general weakness and ill health.
* If there are signs of urinary retention.
* Infant younger than 3 months with a high temperature because of injury most likely be in the inflammation of the College.
* All infants younger than one month even if there was no rise in temperature.
Special precautions
*
Advised to give large amounts of water for the child as the large
number of fluid has to urinate more, which helps to wash the bladder
constantly.
*
For girls to be the mother clean the baby in the direction from front
to back and not vice versa, to avoid the arrival of bacteria from the
anus to the urethra and for girls older must be on the mother tell her
child in a clean body after going to the bathroom.
*
To be advised school-age children to enter the bathroom as soon as the
feeling of wanting to urinate, as many children feel ashamed to ask for
going to the toilet while in the classroom, because the collection of
urine in the bladder for long periods can be back in the direction to
the top of hand ureters,
which is what is causing the health problems of the kidneys in the long
run, as well as the control in the urine for long periods causing
excruciating pain for the child.
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موضوع: Urinary tract infection in children, symptoms and treatment 
