Three-year-old Lilly presents with her second UTI in two months. Mom is concerned that she might have vesicoureteral reflux, since the mother had it as a child. How would you proceed? Include patient and family education, prevention, and management.
Ans) Preventive antibiotics — A low daily dose of an antibiotic
may be recommended if your child gets frequent UTIs. This treatment
is usually continued for 6At-home treatments
Children should drink plenty of liquids and urinate often to speed
healing. Drinking water is best. Ask your health care professional
how much liquid your child should drink. A heating pad on a child's
back or abdomen may help ease pain from a kidney or bladder
infection to 12 months.
- In infants and toddlers, frequent diaper changes can help prevent the spread of bacteria that cause UTIs. When kids are potty trained, it's important to teach them good hygiene. Girls should know to wipe from front to rear — not rear to front — to prevent germs from spreading from the rectum to the urethra.
- School-age girls should avoid bubble baths and strong soaps that might cause irritation, and they should wear cotton underwear instead of nylon because it's less likely to encourage bacterial growth.
Three-year-old Lilly presents with her second UTI in two months. Mom is concerned that she might...
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Emily, a 3-year-old toddler, presents to the pediatrician's office for her yearly physical. Her mother and 6-month-old brother accompany her. Emily's brother was seen first for immunizations and a checkup, and now it is Emily's turn for an exam and immunization check. The nurse notes that Emily's immunizations are up-to-date (she received the pneumonia vaccine in the fall, as well as her yearly flu shot). Emily's mother reports that her daughter is doing well in preschool and has had no...
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