Login      Sign Up

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

Answered by Dr. Vijaykumar Mundeshi.

Do you have a question on Urinary Tract Infection or Urine Infection? We have medical experts to help you right away. Ask a Doctor Now »

Hello doctor,

My 1.5 year old baby has suffered from UTI for the last 18 days. The culture report showed Klebsiella pneumoniae 100000 cfu/mL. Her doctor said Colistin is sensitive and she has been treated with Colistin and catheter IV for 15 days. But, her infection is not clearing and is going up and down. Today's report says pus cells 30 to 40, RBC 6 to 8 and epithelial cells 1 to 2. She had open ureteric bilateral surgery for grade 5 reflux on the right side and 4 on the left. Please guide us doctor.

Related Questions:
Will antibiotics help to improve IBS?
Kindly recommend a medicine for urine infection.
Following UTI, I am getting vaginal dryness and pain. How to treat this?

Dr. Vijaykumar Mundeshi
Child Health, Paediatrics


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


Thank you doctor,

She had two UTIs earlier. The first one before 10 months and the second one before three months. She was treated with Micasin.


Dr. Vijaykumar Mundeshi
Child Health, Paediatrics


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

Ask your health query to a doctor online?
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers

Is Urinary Tract Infection contagious?
Query: Hi doctor, A few days ago I was diagnosed with UTI infection. I was put on antibiotics, and the ER doctor sent my urine for a culture. My doctor told me that Klebsiella pneumoniae is present in my urine culture and referred me to a specialist. What does it mean? I am 23 years old and sexually active...  Read Full »
Dr. Sumit Srivastava
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. UTI - urinary tract infection caused by Klebsiella takes longer to get treated. But, once cleared it should not come back. Recurrent UTI could be due to kidney stones, diabetes, dehydration, involvement of upper urinary tract, frequent sexual encounters, etc. I would ...  Read Full »
Following UTI, I am getting vaginal dryness and pain. How to treat this?
Query: Hi doctor, A few months ago, I was suffering from UTI and followed by vaginal dryness. Right now, I feel occasional sharp pain in my vagina, which subsides after a while. Also, I am getting pain during intercourse. I wanted to know the ways to treat this vaginal dryness. I had urine and culture t...  Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Pain can be due to cystitis or recurrence of UTI (urinary tract infection). UTI will not cause vaginal dryness. It indicates inadequate exposure to estrogen (hormone), which can be due to many causes. Regarding dryness and pain during intercourse, it can be reduce...  Read Full »
Kindly recommend a medicine for urine infection.
Query: Hi doctor,I am suffering from a urinary infection for the last one week. I am unable to control urine. But, no medication is taken yet. I am a 34 year old female. My height is 154 cm and weight 76 kg.  Read Full »
Dr. Kamalpreet Kaur Nagpal
Obstetrician And Gynaecologist

Answer: Hi,Welcome to icliniq.com.First get a complete urine examination done along with urine culture. Keep a good perineal hygiene.You may use some vaginal wash. I suggest you antibiotic like Levofloxacin along with tablet Darilong (Darifenacin) once a day to treat urine infection and control urine. Cons...  Read Full »

Ask your health query to a doctor online?
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Ask a Doctor Online

* guaranteed answer within 4 hours

Most Viewed

My nose is always blocked and has mucus. Kindly help.
Hello doctor,My nose is always blocked and have mucus, from past four months. To open up my nostrils, I have to use Otri ...Read more »
Child is showing tantrums and speaking bad words. Kindly help.
Hello doctor, My child is 2.7 years old but is very aggressive and does what should not be done. Never listens, shows t ...Read more »
Folic Acid - Uses | Dosage | Side effects | Drug Interactions | Warnings
Folic acid is the synthetic form of folate, which is a water-soluble vitamin B9. It is the crucial ingredient in the syn ...Read more »