8 Year Child With Repeat Urine Infections. All Different Bacteria

Posted on Wed, 22 Apr 2020

Question: 8 year child with repeat urine infections. All different bacteria showing. Weekly infections.
No symptoms whatsoever only diagnosed as we test weekly.
Last infection didn’t shoe nitrates or leukocytes just a small trace of blood however doctor said it was a bad infection.
Original scan had a distended bladder however second scan normal.
Kidneys all look fine and no other problems on scan.
Bloods originally showered higher then normal creatine but since showing normal.
Only thing on bloods is white cells and infection markers.
Any idea what could be causing long term infections? And how it can be diagnosed and treated long term.
She’s been really healthy other then being 7 weeks premature and spending 4 weeks in NICU, practises good hygiene.she drinks a lot too.
Only thing she has is nose bleeds and a lot of them.

Answered by Dr. Sumanth Amperayani (16 minutes later)

Brief Answer:
Please upload all the last 3 urine cultures

Detailed Answer:
Hi... I understand your concern.

Please upload the latest 3 urine culture reports.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sumanth Amperayani (1 hour later)

I will try and get copies tomorrow from the doctor. She also on this urine dipstick test had very high levels of nitrates leukocytes and strangely protein! Thanks

Answered by Dr. Sumanth Amperayani (8 hours later)

Brief Answer:
No problem I will wait and I will respond as soon as you upload the reports

Detailed Answer:
No problem. I Will wait and I will respond after you upload me the last three culture reports.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sumanth Amperayani (4 hours later)

Ok so I couldn’t get the actual reports but her urine culture
Showed positive for the following
November 2019 - Ecoli
Feb - 2020 - Ecoli
March - Enteroccus SPP
There are two more but they couldn’t find the results. And then this one awaiting results.

Answered by Dr. Sumanth Amperayani (26 hours later)

Brief Answer:
Need to know if its multiple organisms in same culture and colony counts

Detailed Answer:
I need to know if its multiple organisms in same culture and colony counts to decide on the validity of the culture.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sumanth Amperayani (3 hours later)

Yeah I won’t be able to get this at this time due to lockdown

Follow up: Dr. Sumanth Amperayani (0 minute later)

Could you possibly give an idea of possible causes

Answered by Dr. Sumanth Amperayani (18 hours later)

Brief Answer:
Risk factors of uti

Detailed Answer:
I understand your concern.

The risk factors of urinary tract infection here are female gender, holding back urine.

Apart from this we need to work out if there is any vesico ureteric reflux.

This can be ascertained by micturating cystourethrogram or by an experienced ultrasonologist.

Best regards - Dr Sumanth Amperayani

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Above answer was peer-reviewed by : Dr. Kampana