Urinary Tract Infection, commonly referred to as UTI, is one of the most world-known microbial infections. It is caused by the invasion and growth of bacteria in the urethra. The disease is common in females as opposed to males. One of the most leading bacteria responsible for UTI is Escherichia coli. The reason behind it is that women have a shorter urethra than men. Therefore, all women, ranging from infants to adults, are at risk of being infected. This paper, however, focuses on the variation in follow-up on a 3 months old child, a female aged 8 and 16 years accordingly (Rane, 2013).
Following treatment, it is necessary to carry out follow up on the patients. In the case of a 3-month-old child, an extensive assessment of the child’s response to antibiotics is crucial. Factors to consider in this case should be abdominal mass size, the frequency of urine flow, fever and hemodynamic stability. Suppose, the mentioned factors fail to improve after 48 hours of medication then it calls for an alarm. In this case, a pediatrician will be required to conduct a renal and bladder ultrasound. Intravenous antibiotics are then recommended for the child until the situation begins to improve (Domino, Baldor & Golding, 2014).
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As for an 8-year-old female, a clinical should be called when the UTI symptoms worsen. It is also recommended that she visits the hospital at least once in 3 months after the treatment. Additionally, parents are advised to make calls when their children develop newer symptoms such as back pains, frequency in urination particularly at night, high fevers that fail to retreat, foul smelling urine and blood in the urine as well as vomiting. The affected girl is expected to take a lot of water each day and pee without holding her bladder for long periods to prevent the rate at which the bacteria multiply (Robinson, Finlay, Lang & Bortolussi, 2014).
The first follow-up procedure on a 16-year-old girl is to ensure that she takes all her drugs appropriately. She must not stop even when she feels better. By doing so, she will be eliminating the risk of having frequent incidences of urinary tract infections. Just like the 8-year-old girl, she should be taking a lot of water and checking the color of her urine. Pale urine means that one needs to drink more water. Clear urine means that she is on a safer side.
References
Domino, F. J., Robert A. B., Jill A. G., and Jeremy G. (2014) The 5-minute clinical consult standard 2015. Philadelphia, PA: Lippincott Williams & Wilkins.
Rané, A. & Dasgupta, R., (2013). Urinary tract infection . Berlin, BL: Springer Science & Business Media.
Robinson, J. L., Finlay, J. C., Lang, M. E., & Bortolussi, R. (2014). Urinary tract infections in infants and children: diagnosis and management. Paediatrics & child health , 19 (6), 315-319.
