Urinary Tract Infection (UTI)

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Urinary Tract Infection (UTI) in infants and small children is a situation that needs to be observed for 5% of sufferers show only a very vague symptoms with the risk of kidney damage greater than children who had more besar.1 And this damage can lead to hypertension or declining renal function.

Definition and prevalence

UTI is the presence of bacteria in the urine accompanied by symptoms infeksi.2 There also defines UTI as a symptom of infection with the pathogenic microorganisms (pathogenic: causing disease) in the urine, urethra (the urethra: a channel that connects the bladder to the outside world), bladder, or ginjal.3

UTI can occur in 5% of girls and boys 1-2% laki.2 Genesis UTI in newborns of low birth weight to reach 10-100 times higher compared to infants of normal birth weight (0.1 to 1%) . Before the age of one year, UTI occurs more frequently in boys. While thereafter, most UTIs occur in girls. For example, in pre-school age children where UTI in women reached 0.8%, while in men only 0.2%. And this ratio continues to increase so that at school age, the incidence of UTI in girls 30 times higher than in boys. And the boys who were circumcised, the risk of UTI decreased to 1/5-1/20 of a boy who did not disunat.1

At age 2 months - 2 years, 5% of children with UTI had fever without source of infection from history and examination fisik.1 Most of the ICS with a single symptom of this fever occurred in girls.

Causes and Risk Factors

* Escherichia coli is the most common cause in children, up to 80% .2 In newborns (0-28 days), infection is mediated by blood flow. Whereas after that age, generally occur with increasing UTI bacteria into the urinary tract.
Staphylococcus saprophyticus *
* Proteus mirabilis. In addition to causing infection, the bacteria release substances that can facilitate the formation of stones in the urinary tract.
* Other microorganisms that cause UTI are some bacteria that commonly infect the digestive tract and Candida albicans, a fungus that commonly infects patients with catheters (catheters: a kind of hose) on the bladder channel, low immunity, diabetes mellitus, or patients in the antibiotic therapy.

Most UTIs are not associated with risk factors for recurrent UTI tertentu.3 however, needs to consider the possible risk factors such as:

* Abnormal function or urinary tract anatomical abnormalities
* Impaired bladder emptying (Incomplete bladder emptying)
* Constipation
* Operation of urinary tract
* Low body immunity

Symptom

Symptoms that may appear on UTI in children is not very specific, and as mentioned earlier, many are only accompanied by fever as gejala.1, 3

* The newborn (0-28 days): fever, yellow prolonged, failure to thrive, do not want to breastfeed
* Infants: fever, refusing feeds, vomiting, diarrhea
* Children: fever, pain while urinating, frequent urination, blood in the urine, the urine is cloudy or foul-smelling, pain in the area above the pubic bone, wet (after the previous stop bed-wetting)

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