According to statistics, 7% of girls and 2% of boys until the age of six years, at least once the inflammation of the bladder
Inflammation of the bladder - inconvenient and unpleasant
. The development of inflammation of the bladder in children allegedly associated with constipation, fecal incontinence, and infrequent urination. In most cases, the inflammation caused by infections, the most common - monomikrobnymi.
The most common causative agents of a bladder infection in children are: Escherichia coli (60-80% of cases), Proteus (most common in boys), Klebsiella, Enterococcus, and coagulase-negative staphylococci.
Symptoms of bladder infection in children
In older children, symptoms of inflammation of the bladder are various urinary disorders (frequent urination, the allocation of a relatively small amount of urine), as well as complaints of pain in the lower abdomen. Infants commonly observed non-specific symptoms, such as fever, irritability
Irritability - you try to control my temper
, Jaundice, vomiting, and sometimes even a slight delay in development.
Diagnostics
Children with suspected bladder infection and a high probability of urinary tract infections to do a urine culture (or urine culture). If the probability of infection is low (there are no major symptoms) - can be quite rapid analysis of urine. Rapid analysis allows to eliminate the infection if it will give a negative result. If the result is positive, accurate diagnosis is necessary to do a urine culture.
A blood test as an additional method of diagnosis is usually not required, but it may be recommended if the child is less than two years, and if the child were found in the urine of Staphylococcus aureus or Streptococcus group B.
A few years ago, almost all children, who revealed inflammation of the bladder caused by an infection, it was recommended to pass an additional examination with the use of medical imaging techniques. However, studies have shown that in most cases, such screening does not affect the selection of methods of treatment and, as a consequence, the outcome of therapy. Today medical imaging, typically ultrasonography, most often used for examination of children with recurrent bladder infection.
Treatment
For the treatment of an infection of the bladder are commonly used antibiotics. The drug of first choice for children over two months is amoxicillin. Dose is assigned based on the rate of 20-40 mg per 1 kg body weight of the child. The drug is taken three times a day. Other antibiotics for the treatment of inflammation of the bladder
Treatment of inflammation of the bladder
children:
- Cefixime (Suprax) - 8 mg per 1 kg body weight, twice per day;
- Cefpodoxime (Vantin) - 10 mg per 1 kg body weight, twice per day;
- Cephalexin (Keflex) - 50-100 mg per 1 kg of body weight four times a day;
- Trimethoprim / sulfamethoxazole - 6-12 mg per 1 kg of body weight / 30-60 mg per 1 kg body weight, twice a day.
The optimal duration of treatment has not been established. Typically, duration of treatment is most effective, however, due to the characteristics of the child's body, it also may not be the safest.
Non-infectious inflammation of the bladder
This disorder, which is also known as interstitial cystitis
Interstitial cystitis - inflammation of the bladder
Occurs in children is rare, yet such cases are not exceptions to the rule. Symptoms like infectious inflammation of the bladder associated with disorder of urination. Diagnosis of interstitial cystitis in children is complicated by the fact that doctors often attribute the symptoms of other disorders. The cause of this disease is unknown; most likely, here plays a big role genetic factors.