Urinary tract infection - chronic or recurrent

Table of Contents

Alternative Names

UTI - children; Cystitis - children; Bladder infection - children; Kidney infection - children; Pyelonephritis - children


Prevention
  • Avoid giving your child bubble baths
  • Have your child wear loose-fitting underpants and clothing
  • Increase your child's intake of fluids
  • Keep your child's genital area clean to prevent bacteria from entering through the urethra
  • Teach your child to go the bathroom several times every day
  • Teach your child to wipe the genital area from front to back to reduce the chance of spreading bacteria from the anus to the urethra

Long-term use of preventive (prophylactic) antibiotics may be recommended for some children who are prone to chronic UTIs.


References

Montini G, Rigon L, Zucchetta P, et al. Prophylaxis after first febrile urinary tract infection in children? A multicenter, randomized, controlled, noninferiority trial. Pediatrics. 2008;122(5):1064-1071.

Craig JC, Simpson JM, Williams GJ, et al. Antibiotic prophylaxis and recurrent urinary tract infection in children. N Engl J Med. 2009 Oct 29;361(18):1748-59.

Skoog SJ, Peters CA, Arant BS Jr, et al. Pediatric Vesicoureteral Reflux Guidelines Panel Summary Report: Clinical Practice Guidelines for Screening Siblings of Children With Vesicoureteral Reflux and Neonates/Infants With Prenatal Hydronephrosis. J Urol. 2010 Sep;184(3):1145-51.

Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER. Does this child have a urinary tract infection? JAMA. 2007;298:2895-2904.



Review Date: 10/26/2010
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)