Urinary tract infection

• UTI: most often as a result of bacteria ascending to the bladder via the urethra
• UTI: sexually active female adolescent is at risk for a UTI
• UTI: adolescent male may be somewhat protected from UTI by antibacterial properties of prostate secretions
• Pee after sex
• can be caused by not urinating enough during the day

  • set up regular times for child to use bathroom
  • bubble baths and tight clothing
• signs and symptoms: fever, n/v, chills, kidney pain(flank pain), lethargy, jaundice, poor feeding, urinary frequency, burning and stinging with urination, foul smelling urine, poor appetite, blood in urine
• in neonate observe for jaundice or increased respiratory rate
• in infants and children inspect perineal area for redness or irritation
• observe urine for blood, cloudiness, dark colour, sediment, mucus, foul odour
• note pallor, edema, or elevated blood pressure
• palpate abdoen
• children younger than 3 months and those with dehydration, a toxic appearance, or sepsis should be hospitalized for administration of IV antibiotics
• dont drink water because they dont want to pee
• least invasive way to get antibiotics first
• complete entire course of oral antibiotics from home
• use probiotic to prevent diarrhea
• administer antipyretics
• a heading pad or warm compress may help to relieve abdomen or flank pain
• encourage voiding in a warm sitz or tub bath
• repeat urine culture after completion of antibiotic course to ensure eradication of bacteria
• monitor for hemolytic ureic syndrome