Inflammation of the bladder in children: to be the right treatment
According to statistics, 7% of girls and 2% of boys until the age of six years, at least once the inflammation of the bladder.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.
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
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 - Try to control your mood , jaundice, vomiting, and sometimes even a slight delay in development.
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 exclude the infection if it will give a negative result.If the result is positive, accurate diagnosis is necessary to do a urine culture.
blood test as an additional diagnostic method is usually not required, but it may be recommended if the child is less than two years, and if the child's urinefound Staphylococcus aureus or Streptococcus Group B
few years ago, almost all children, who revealed inflammation of the bladder inflammation of the bladder - inconvenient and unpleasant , 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, generally ultrasound, is most often used for examination of children with recurrent bladder infection.
for treatment of infectious inflammation of the bladder are commonly used antibiotics.The drug of first choice for children over two months is amoxicillin.The dose is assigned, based on the calculation 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 of body weight, twice a day;
- Cefpodoxime (Vantin) - 10 mg per 1 kg of body weight, twice a 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 of body weight, twice a day.
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 play a large role here genetic factors.