Sandbox:Rana

*/Most small children with febrile UTI do not develop renal damage and if they do the majority remain unchanged or regress over time.PMID: 28681079

*/Differentiating UTI from asymptomatic bacteriuria, which usually requires no treatment, can lower the frequency of unnecessary antibiotic prescriptions.PMID: 20539810

*/Febrile infants with UTIs should undergo renal and bladder ultrasonography. PMID: 26361319

*/

Some factors make it easier for bacteria to enter or stay in the urinary tract, such as:

• Vesicoureteral reflux in which urine flow backs up into the ureters and kidneys.
• Brain or nervous system illnesses (such as myelomeningocele or spinal cord injury).
• Bubble baths or tight-fitting clothes (girls).
• Changes or birth defects in the structure of the urinary tract.
• Not urinating often enough during the day.
• Wiping from back (near the anus) to front after going to the bathroom. In girls, this can bring bacteria to the opening where the urine comes out.https://medlineplus.gov/ency/article/000505.htm*

*/UTIs are more common in girls. This may occur as children begin toilet training around 3 years of age. Boys who are not circumcised have a slightly higher risk of UTIs before age 1.

10.1016/j.pcl.2006.02.011. ISSN 0031-3955

UTI classification

level of the infection

Severity

Recurrency

Cystitis:infection in the bladder

Pyelonephritis:infetion of the renal pelvis and kidney

Urethritis:infection of the urethra

Complicated

Uncomplicated

First time of infection

recurrent infection