My child has a bladder infection

1. A bladder infection is a urinary tract infection without fever. If children with a urinary tract infection are sick and have a high fever, this is called pelvic inflammatory disease. Then there is also flank pain and / or back pain present.

1. For doctors it is not always easy to decide whether there is only a bladder infection or whether there is also a high inflammation or renal pelvic inflammatory disease. Usually additional blood tests in the laboratory show that there are more serious signs of infection with an infection of the renal pelvis.

Causes

1. Causes for urinary tract infections can include: Birth defects such as valves in the ureter in boys. These can cause dilated urinary tract and recurring infections. A narrowing of the drainage from the renal pelvis to the ureter can cause the renal pelvis to widen. Nowadays, this abnormality is often detected during the 20-week ultrasound. Reflux: When the urine flows back from the bladder to the kidneys. An abnormal bladder function with a lot of pressing during urination and being unable to hold urine. Constipation is a common cause of recurring urinary tract infections.

2. Causes for urinary tract infections can include: Birth defects such as valves in the ureter in boys. These can cause dilated urinary tract and recurring infections. A narrowing of the drainage from the renal pelvis to the ureter can cause the renal pelvis to widen. Nowadays, this abnormality is often discovered during the 20-week ultrasound. Reflux: When the urine flows back from the bladder to the kidneys. An abnormal bladder function with a lot of pressing while urinating and being unable to hold urine. Constipation is a common cause of recurring urinary tract infections.

Diagnosis

1. A urinary tract infection develops differently in young children (under three months) than in large children. They have a fever, vomit frequently, have feeding problems and are irritable, tearful or just appear ill. Parents often find the diaper smelly. Sometimes a baby feeds poorly, is quiet and grows poorly. Older children with urinary tract infections have pain when passing urine, stomach pain or flank pain. They urinate small amounts, have cloudy urine and a fever. A recurring urinary tract infection is considered when: Two or more periods are with a urinary tract infection with a fever One period with a urinary tract infection with fever and one or more without fever Three or more urinary tract infections are without fever

2. A urinary tract infection develops differently in young children (under three months) than in large children. They have a fever, vomit frequently, have feeding problems and are irritable, tearful or just appear ill. Parents often think the diaper smells. Sometimes a baby feeds poorly, is quiet and grows poorly. Older children with urinary tract infections have pain when passing urine, abdominal pain or flank pain. They urinate small amounts, have cloudy urine and a fever. A recurrent urinary tract infection is considered when: Two or more periods are with a urinary tract infection with a fever One period with a urinary tract infection with fever and one or more without fever Three or more urinary tract infections are without fever

Research

1. To determine if your child has a bladder infection, the urine for a culture is collected when the child urinates. In children <6 months with a urinary tract infection, ultrasound examination of the kidneys and bladder or other additional examination is almost always necessary. In older children this only applies to recurring urinary tract infections or infections with a rare pathogen. To determine whether your child has a bladder infection, the urine for a culture is collected when the child urinates. As an X-ray examination, an ultrasound of the kidneys and bladder is made. If your child is toilet trained, an ultrasound with a full bladder will be made. Reflux can be detected by means of a so-called micturition cyst urethrogram. In this case, a thin tube (catheter) is introduced into the bladder of the child through the penis or the urination opening in girls. A contrast fluid is administered into the bladder through this tube. This should really only be visible in the bladder. When the fluid goes up through the kidney's drainage tube, you know reflux is happening. A kidney scan (DMSA scan) is made to detect damage in the kidney tissue. These damages are then caused by infections. If the urinary tract infection occurs in children <6 months, is different in children or if the infection keeps coming back, a DMSA scan will be performed.

2. To determine if your child has a bladder infection, the urine for a culture is collected when the child urinates. In children <6 months with a urinary tract infection, ultrasound examination of the kidneys and bladder or other additional examination is almost always necessary. In older children this only applies to recurring urinary tract infections or infections with a rare pathogen. To determine whether your child has a bladder infection, the urine for a culture is collected when the child urinates. As an X-ray examination, an ultrasound of the kidneys and bladder is made. If your child is toilet trained, a full bladder ultrasound will be performed. Reflux can be detected by means of a so-called micturition cyst urethrogram. In this case, a thin tube (catheter) is introduced into the bladder of the child via the penis or the urination opening in girls. A contrast fluid is administered into the bladder through this tube. This should really only be visible in the bladder. When the fluid goes up through the kidney's drainage tube, you know reflux is happening. A kidney scan (DMSA scan) is made to detect damage in the kidney tissue. These damages are then caused by infections. If the urinary tract infection occurs in children <6 months, is different in children or if the infection keeps coming back, a DMSA scan will be performed.

Treatment A urinary tract infection is treated with antibiotics. The type depends on the severity of the infection and the age of your child. If your child is young (<3 months) and is ill, spits a lot or has feeding problems, the antibiotics will be given via an IV for the first few days. As soon as children recover, they are given the antibiotic by means of a drink. Protective antibiotics that prevent infections are only given under certain circumstances. For example, to children who have a return of urine to the renal pelvis This article has been approved by Dr. J.M. de Bont, pediatrician-pediatric neurologist at UMC Utrecht. Last revised September 21, 2018 Also read Facts and fables about the bladder What is cystitis? The urinary system Don't miss anything anymore?

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