Recurrent UTI in pediatric patient |
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Dear Ask The Doctor: My 7 year old daughter was treated with an antibiotic for a mild staph infection about two weeks ago. She still wets the bed every night and has an occaisional accident during the day. i had a similar day-time problem when I was her age in that the urge to urinate would come suddenly and without warning. I would have to cringe down to gain control before I could get up to go to the bathroom. She suffers from this, but recently has been telling me that she often has urine leak out when she doesn't feel like she needs to pee. I took her to the doctor, who did a urine analysis on her. It came back that she had a "pretty significant infection". He prescribed a generic Septra Cherry Susp this time. I am wondering how she could still have such a significant infection when she just finished a round of antibiotics about a week ago? I apologize that I don't remember the first antibiotic, only that it is commonly used for staph infections. Dear Stevie: I understand your concern about your daughter’s recurrent Urinary infection. Certainly in my opinion, if the cause of the enuresis or urine leak is not taken care of, the urinary infections would continue to appear. Voiding dysfunction can occur in children, especially in girls and surely they are at increased risk for the development of vesicoureteral reflux and UTI. A more detailed evaluation done by a pediatric urologist might rule out this possibility and treatment of the cause can be started. Voiding dysfunction treatment in pediatric patients includes timed voiding, treatment of constipation if present, prophylactic antibiotics and, in some cases, use of anticholinergic medication. |
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| Last Updated ( Tuesday, 09 November 2010 ) |
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