Urinary Tract Infections in Children (cont.)
IN THIS ARTICLE
Exams and Tests
If your child has symptoms of a urinary tract infection (UTI), the doctor's first evaluation will probably include:
If the doctor suspects that your child has a UTI, a urinalysis will help point to a diagnosis. A urine culture can confirm the diagnosis and identify what is causing the infection. But the results usually are not available for a couple of days. Rather than delay treatment to wait for the results of the urine culture, the doctor probably will start your child on antibiotics if your child's symptoms, history, and urinalysis show that a UTI is likely.
A urine sample will be collected.
The doctor may do other tests if your child has a UTI and:
Tests after a child's first UTI
Some doctors recommend tests to check the urinary tract after the first UTI in an infant or young child. But these tests may not be able to help a doctor decide what treatment is needed.
The most common tests after an infant's or young child's first UTI are:
The purpose of doing these tests after treatment for your child's UTI is to reduce the risk of future kidney damage and related problems, such as high blood pressure and kidney failure. These tests can identify vesicoureteral reflux, abnormalities of the urinary tract, and other conditions that may make your child more prone to kidney infections. If the tests find any of these conditions, the doctor can watch and give preventive treatment, if needed, to your child. The doctor will do these tests at the earliest convenient time after your child's UTI improves.
During the year after your child's first UTI, the doctor may do periodic urine cultures to screen for UTI infections. But doctors do not agree on how effective follow-up urine cultures are.
eMedicineHealth Medical Reference from Healthwise
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