Q. Why does my 1. 5 year old baby get recurrent urinary tract infection?

Hello,

Welcome to icliniq.com.

Your baby has proven UTI - urinary tract infection with Klebsiella and is Colistin sensitive and unfortunately not responding. Also, she had bilateral reflux, which is prone to cause recurrent UTI.

The reason for persistent urine infection may be underlying anatomical defects (the reflux), resistance to Colistin or involvement of upper urinary tract (kidneys).

I recommend you to repeat urine cultures and get an ultrasound examination to look for any complications developed and whether any intervention is needed now, as during active infection other imaging studies are deferred.

I need to know, how many episodes of UTI she had earlier? Also, give me more details of reflux and surgery done and antibiotic prophylaxis being used.

Please continue her antibiotics. Thank you.

Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Hello,

Welcome back to icliniq.com.

• She has recurrent UTIs and this time it is persistent and not responding.

• Klebsiella UTI are sometimes resistant to Colistin.

• My suggestion if she is symptomatic are as follows:

1. Repeat urine culture.
2. Remove or change the catheter.
3. Ultrasound of abdomen and urinary system.
4. Consult urologist, if still no reason found.

For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician