Children can suffer from kidney damage, recurrent urinary tract infection (UTI), which was not diagnosed immediately or cheap strattera subsequently evaluated. Complications include UTI renal (kidney) damage and hypertension (high blood pressure). Infants and small children are most at risk of kidney damage. The highest incidence, underlying disorders of the urinary tract, such as PMR, also occurs in this young age group. By promptly and properly recognizing the treatment of UTI, the doctor minimizes the risk of kidney damage. American Academy of Pediatrics recently developed practice guidelines for diagnosis, treatment and evaluation of UTI in infants and young children aged from 2 months to 2 years. Guide recommends that any small child with unexplained fever should be evaluated for UTI. Children with UTI often represent non-specific symptoms such as irritability, vomiting, diarrhea, and failure to thrive. Thus, the physician should maintain a high index of suspicion for the diagnosis of UTI. Urine for culture should be obtained before antibiotics. Clever way to collect urine in a child with suspected UTI, using the bag to the perineum. Bags collected urine, however, often contain contamination, and therefore
bags collected urine does not help in the diagnosis of UTI. Of course, if the urine is normal, it is unlikely that the child's UTI. Bags collected urine suggests UTI requires more invasive methods of obtaining urine, with the possible exception of the circumcision of boys within one year of age. Urine get suprapubic bladder aspiration with the least likely to be infected. It received transurethral bladder catheterization is next best. Urine culture necessary for the diagnosis of UTI. A child who appears ill enough to warrant immediate antibiotics, one of the invasive methods of obtaining urine for culture should be made to the antibiotics. The objectives of UTI treatment includes elimination of infection prevention and reduction uroseptic kidney damage. Initial treatment with parenteral antibiotics is recommended for those children who appear toxic, dehydrated or unable to maintain oral intake. For children who do not look as sick, starting antibiotics usually include amoxicillin, sulfonamide containing antimicrobial or cephalosporins. If the expected clinical response is not received after two days of antibiotic therapy, the child must be viewed from another urine culture. Adequate treatment lasts from 7 to 14 days. However, continuation of antibiotics in prophylactic doses should be continued until the child is exposed to imaging studies. Picture of the urinary tract is recommended in every febrile infant or young child after the first UTI. Includes images of kidneys and bladder ultrasonography and urinary tsistouretrohramma. Renal ultrasound can detect hydronephrosis, duplication anomalies, stones or breach the bladder wall and must be received in the near convenient time. Bladder radiograph can be obtained by instilling contrast to X-rays or instillation of radionuclides. Radionuclide cystography has the advantage of lower radiation, while the contrast urination tsistouretrohramma has the advantage of providing better anatomical details that can help detect bladder / urethra disorders. Any method must include the phase of urinary reflux, most likely to detect an anomaly and may occur only during urination. Bladder radiograph should be obtained only child free from infection. This recommendation requires timely diagnosis, treatment and prevention of antibiotic dose, until the image comes in all young children after the first UTI. The commitment of management should reduce the incidence of kidney damage from UTI. Partly cloudy, foul-smelling urine, blood or mucus in urine >> << If your child has any of these signs or symptoms, their urine should be tested for infection. Your pediatric urologist should be aware of any infections. Investigation of urine under a microscope will show if there are bacteria, leukocytes and erythrocytes in the urine. White cells and red blood cells in urine may indicate that the infection is. Cultures of urine is usually done if infected urine looks under the microscope. Culture made by putting some of the urine in a special dish and checked for any bacteria grow. If your child is being catheterization, bacteria in the urine does not always mean that there is infection. If the bacteria that cause symptoms, they do not require treatment. An exception is the bacteria in the urine of children with cystic-ureteral reflux (urine goes back to the kidneys). If your child has reflux, bacteria in the urine can lead to serious infection and should be considered. Drink plenty of water. Water is best, but the liquid with plenty of water, such as fruit juices, may also be useful. Catheter often using a good clean method. Storage of empty bladder urine helps prevent infection. Preventing constipation. A lot of food in the rectum leads to destruction of the bladder and allows many bacteria to grow. A good bowel program is important. Keeping food out most ordinary help keep the bacteria causing the infection. Always wipe from front to rear. Purgation accident with caution and as soon as possible. Your pediatric urologist should be aware of all infections. Additional tests may be needed. Change your child's medications or CIC programs may be needed. .
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