Urinary Tract Infection (Pediatric) Disease Summary

Last updated: 05 July 2016

Overview

Acute uncomplicated urinary tract infection (UTI) is the infection that affects the lower and/or upper urinary tract.
Escherichia coli
is the causative agent of the majority of urinary tract infection (UTI).
Nonspecific urinary tract infection symptoms in infants <3 months are fever, feeding difficulties, vomiting, lethargy, irritability and failure to thrive.
Toddlers and preschoolers have unusual odor of urine, abdominal or flank pain, frequency, dysuria, and urgency.
School-age children have the classical symptoms of fever, frequency, urgency and dysuria.
Consider UTI in all seriously ill children even when there is evidence of infection outside the urinary tract.
Starting empiric treatment with a broad-spectrum antibiotic is recommended in a patient with presumptive UTI once a specimen for culture and urinalysis, preferably obtained from catheterization or suprapubic bladder aspiration, is sent. The agent to be given should be based on the antibiotic susceptibility patterns of the infecting pathogen. Timely treatment with antibiotics decreases the severity of renal scarring.

For further information regarding the management of Urinary Tract Infection (Pediatric), please refer to Disease Algorithm for the Treatment Guideline.