When Kids Get UTIs: What Parents Should Know

When your child suddenly complains of belly pain, runs a fever or needs to use the bathroom more than usual, it could be a sign of a urinary tract infection (UTI). While UTIs are common, especially among girls, you should never ignore them.

“Pediatric UTI is one of the most frequent infections we see,” says Abd-El-Rahman “A.R.” Abd-El-Barr, MD, a pediatric urologist at AdventHealth Tampa. “Fortunately, they’re very treatable, but timely care is key to preventing kidney infections or long-term issues.”

What Causes UTIs in Kids

A UTI develops when bacteria, usually from the digestive tract, enter the urinary system, which includes the kidneys, bladder, ureters and urethra. When bacteria multiply, infection can occur.

“Good bathroom habits are one of the most effective ways to prevent infection,” Dr. Abd-El-Barr says.

Common risk factors for UTIs in kids include:

• Constipation
• “Holding it” instead of urinating
• Irritation from bubble baths or soaps
• Not wiping properly after using the bathroom
• Reflux of urine from the bladder back toward the kidneys
• Wearing tight-fitting clothing

“Encouraging your child to stay hydrated, take regular bathroom breaks and keep themselves clean helps prevent UTIs,” Dr. Abd-El-Barr says.

Recognizing Pediatric UTI Symptoms

Catching symptoms early helps ensure quick, effective treatment. The signs can vary depending on a child’s age.

In infants and toddlers, they include:

• Fever without an obvious cause
• Fussiness or irritability
• Unusual urine odor
• Vomiting

In older children, they include:

• A frequent urge to urine
• Accidents after potty-training
• Burning or pain during urination
• Cloudy or bloody urine
• Pain in the lower belly or back

Call your child’s pediatrician if you notice any of these symptoms, Dr. Abd-El-Barr says. UTIs need to be evaluated, especially when they occur in babies.

Diagnosing and Treating Pediatric UTIs

Your child’s doctor will typically start with a urine test to confirm a UTI and identify the bacteria causing it.

The standard treatment is an antibiotic for pediatric UTI, prescribed based on your child’s age and the type of bacteria.

“For most children, a short course of antibiotics works very well,” Dr. Abd-El-Barr says. “In rare cases, such as if the infection spreads to the kidneys, we may recommend a longer course or medicine to make sure the infection clears completely.”

Also, it’s important to take the full course of pediatric UTI medication — even if your child’s symptoms improve — to prevent recurrence. In addition, keep in mind that it may take a full day or two before your child starts feeling better once they’ve started an antibiotic.

If your child has repeat UTIs, their pediatrician may refer them to a specialist for further evaluation. “When infections keep coming back, it’s often because of an underlying cause, such as reflux, blockage or incomplete bladder emptying,” Dr. Abd-El-Barr says. “Our job is to identify the cause and create a plan to keep your child healthy.”

Preventing Future Infections

To reduce the risk of recurrent UTIs:

• Avoid scented soaps or bubble baths.
• Encourage regular bowel movements to prevent constipation.
• Help ensure your child drinks plenty of water.
• Remind your child not to “hold it” when they need to urinate.
• Teach proper wiping technique (front to back).

Some children may outgrow UTIs with simple changes in routine, while others may need an evaluation by a pediatric urologist to make sure everything is working as it should.

Expert Pediatric Urology Care, Close to Home

At AdventHealth Tampa, our pediatric urology team provides comprehensive, family-centered care for children with UTIs and other urinary concerns. We help your child get the immediate relief and care they need while helping you get answers to your questions and peace of mind.

To learn more or schedule a consultation, call Call813-756-1755 to connect with AdventHealth Medical Group Pediatric Urology at Tampa.

About Dr. A.R.

Abd-El-Rahman (A.R.) Abd-El-Barr, MD, is a board-certified pediatric urologist who is committed to providing compassionate and conscientious care to his patients with the help of a multidisciplinary team, to provide optimal outcomes.