Question

How does your follow-up vary in a child 3 months of age with a urinary tract infection, a female 8 years of age, and a female 16 years of age? What things are you concerned about in each age group?

Answer 1

Urinary tract infection is an infection in the urine. It usually starts from the bladder till the external urethra and sometimes it affects the kidneys.

Causes: It usually caused by bacterial infection such as E.Coli

Follow up for 3 month old Female Baby

• Encourage the child to take more amounts of fluids to eliminate and reduce the accumulation of bacteria.
• Administer pain medication if pain exists.
• Intravenous Antibiotics For about 3-7 days according to the nature of the illness.
• If the child is not improving after 48 hours change the antibiotic.
• Treat for constipation.
• Encourage the female child to wear loose underpants.

Follow up for 8 year old Female child

• Administer oral antibiotics depends on the symptoms and age of the child.
• Advice the child to take more amounts of oral fluids to eliminate the germs.
• Advice the child to empty the bladder often.
• If the child is too sick and not responding for the antibiotics, Refer for hospital admission.

Follow up for 16 year old Female

• Urine culture to identify the type of bacteria and to determine the type of antibiotic.
• Recommend medication to relieve spasm and pain.
• Administer antibiotics for 7 – 14 days.
• Advice to take more amounts of fluids and juices.
• Avoid irritating foods such as coffee and alcohol.
• Advice to avoid smoking.
• Withhold the sexual intercourse for about 15 days
• Advice the female to clean the genital area
• Advice to change the tampons and pads regularly
• Avoid frequent bubble bath
• Advice the girls to avoid nylon underpants instead use cotton materials.
• The girls should avoid vaginal spray and douches