What Causes Recurring UTI In A 2 Year Old Infant?

Posted on Wed, 27 Jan 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 27 Jan 2016 Answered on

Wed, 16 Mar 2016 Last reviewed on

Question : My 2 year daughter has uti now. She had uti 10 months back. She is treated with taxim o. Is recurring uti a concern. Her ultrasound scan is normal.

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
Needs further evaluation

Detailed Answer:
Hello

Thanks for the query

Urinary tract infection is uncommon in children. The first urinary tract infection is usually treated without evaluation but since it has recurred it requires further investigations.

Apart from ultrasound these investigations are recommended
1. Urine culture
2. Micturating cystourethrography to rule out reflux of urine back into the kidneys
3. I suggest getting a DMSA scan as well at a later date if it recurrs

I usually treat with Ciproflox twice a day for 5 days. Taxim is also a good drug. But please make sure to get urine culture done before starting antibiotics

I also suggest
1. Keep the pubic area clean
2. Avoid voiding in public toilets
4. Let drink plenty of water and avoid dehydration
5. Use only cotton under pants

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Rakesh Madhyastha (11 hours later)

Thanks for the revert. I had done a Urine routine and culture on both instance before starting antibiotics .

Culture report as on 20th XXXXXXX 2016 says -
Occasional pus cells, epithelial cells and numerous gram negative bacilli seen.
ORGANISM ISOLATED : Proteus mirabilis
COLONY COUNT : >1,00,000/ml

Culture report as on 6th March 2015 said
Occasional pus cells, epithelial cells and few gram negative bacilli seen.
ORGANISM ISOLATED : E.coli
COLONY COUNT : >1,00,000/ml

my query is why does this occur repeatedly and is repeat UTI for a 2 year kid is a concern and if so what should I do further

Answered by Dr. Rakesh Madhyastha (23 hours later)

Brief Answer:
Recurrent UTI

Detailed Answer:
Hello

Thanks for getting back

Repeated urinary tract infection in children is most often because of anatomical abnormalities like reflux nephropathy. The other causes are improper hygiene especially diaper related infections. Which is why it is important to get the investigations I have asked for

The culture reports have isolated different organisms so it is a recurrent infection rather than a relapse which is more cause for concern

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee