About Us
Our Services
New Patients
Forms & Policies
Medical Resources
   Medical Conditions
      Abdominal Pain, Recurrent
      Acute Ear Infections and Your Child
      Acute Lymphoblastic Leukemia
      Acute Otitis Media
      Acute Strep Throat
      ADHD and Your School-aged Child
      Allergies in Children
      Anemia and Your Young Child
      Anesthesia and Your Child
      Ankle Sprain Treatment (Care of the Young Athlete)
      Antibiotics and Your Child
      Asthma and Exercise (Care of the Young Athlete)
      Asthma and Your Child
      Asthma Triggers
      Atopic Dermatitis (Eczema)
      Attention-Deficit Hyperactivity Disorder
      Attention-Deficit Hyperactivity Disorder (ADHD)
      Breast Enlargement, Premature
      Breath-Holding Spells
      Bronchiolitis and Your Young Child
      Care of the Premature Infant
      Celiac Disease
      Chickenpox Immunization
      Chickenpox Vaccine, The
      Coarctation of the Aorta
      Common Childhood Infections
      Congenital Hip Dysplasia
      Constipation and Your Child
      Coxsackie A16
      Croup and Your Young Child
      Croup: When Your Child Needs Hospital Care
      Crying and Your Baby: How to Calm a Fussy or Colicky Baby
      Cyclic Vomiting Syndrome (CVS)
      Developmental Dysplasia of the Hip
      Diabetic Mother, Infant of
      Diaper Rash
      Diarrhea and Dehydration
      Diarrhea, Vomiting, and Water Loss (Dehydration)
      Ear Infection
      Ear Infections
      Eating Disorders
      Eating Disorders: Anorexia and Bulimia
      Eczema (Atopic Dermatitis)
      Enlarged Lymph Nodes
      Erythema Multiforme
      Eye Problems Related to Headache
      Febrile Seizure
      Febrile Seizures
      Fetal Alcohol Syndrome
      Fever and Your Child
      Fifth Disease
      Fifth Disease (Erythema Infectiosum)
      Flu, The
      Food Allergies and Your Child
      Food Born Illnesses
      Fragile X Syndrome
      Gastroenteritis, Viral
      Gastroesophageal Reflux
      Guide to Children's Dental Health, A
      Hand Foot and Mouth
      Hand-Foot-and-Mouth Disease
      Head Lice
      Headache Related to Eye Problems
      Hepatitis A
      Hepatitis A Immunization
      Hepatitis B
      Hepatitis B Immunization
      Hepatitis C
      Hib Immunization
      High Blood Pressure
      Hip Dysplasia (Developmental Dysplasia of the Hip)
      How to Take Your Child's Temperature?
      Imaging Tests: A Look Inside Your Child's Body
      Infant of a Diabetic Mother
      Infectious Mononucleosis
      Influenza Immunization
      Inhaled and Intranasal Corticosteroids and Your Child
      Kawasaki Syndrome
      Language Development in Young Children
      Lead Poisoning
      Learning Disabilities: What Parents Need to Know
      Lung Hypoplasia
      Lyme Disease
      Mental Health
      Middle Ear Fluid and Your Child
      MMR Immunization
      Molluscum Contagiosum
      Obesity in Childhood
      Osgood-Schlatter Disease
      Otitis Media, Acute
      Pneumococcal Conjugate Immunization
      Pneumonia and Your Child
      Polio Immunization
      Premature Thelarche
      Prematurity, Retinopathy of
      Pulmonary Hypertension
      Pulmonary Hypertension (PPH & SPH)
      Retinopathy of Prematurity
      Rheumatic Fever, Acute
      Ringworm (Tinea)
      Rubella (German Measles)
      Safety of Blood Transfusions
      Seasonal Influenza (Flu) 2014–2015
      Separation Anxiety
      Sinusitis and Your Child
      Sleep Apnea and Your Child
      Speech Development in Young Children
      Stevens-Johnson Syndrome
      Strep Throat
      Strep Throat-Acute
      Strep Throat-Recurrent
      Stuttering and the Young Child
      Swine Flu
      Swine Flu (H1N1) FAQ
      Swine Flu (H1N1) Vaccine
      Swollen Glands
      Tear Duct, Blocked
      Tetralogy of Fallot
      Thyroid Problems
      Tinea (ringworm infection)
      Tonsils and the Adenoid
      Toxic Shock Syndrome
      Turner Syndrome
      Type 2 Diabetes: Tips for Healthy Living
      Underdeveloped Lungs
      Urinary Tract Infection
      Urinary Tract Infections in Young Children
      Varicella or Chickenpox
      Varivax Immunization
      Vesicoureteral Reflux
      What Is ADHD?
      What is Clean Intermittent Catheterization?
      Whooping Cough (Pertussis)
      Wilson Disease
   What's Going Around?
Contact Us

Practice News

Anywhere Family Practice is thrilled to announce the addition of Dr. Julie Johnson to our team.
We will be transitioning to a new patient portal in April. Watch for new updates on this website!

Is Your Child Sick?TM


Are You Sick?

Urinary Tract Infections in Young Children

Print, Share, or View Spanish version of this article

Urinary tract infections (UTIs) are common in young children. These infections can lead to serious health problems. UTIs may go untreated because the symptoms may not be obvious to the child or the parents. The following is information from the American Academy of Pediatrics about UTIs—what they are, how children get them, and how they are treated.

The urinary tract

The urinary tract makes and stores urine. It is made up of the kidneys, ureters, bladder, and urethra (see illustration). The kidneys produce urine. Urine travels from the kidneys down 2 narrow tubes called the ureters to the bladder. The bladder is a thin muscular bag that stores urine until it is time to empty urine out of the body. When it is time to empty the bladder, a muscle at the bottom of the bladder relaxes. Urine then flows out of the body through a tube called the urethra. The opening of the urethra is at the end of the penis in boys and above the vaginal opening in girls.

Urinary tract infections

Normal urine has no germs (bacteria). However, bacteria can get into the urinary tract from 2 sources: (1) the skin around the rectum and genitals and (2) the bloodstream from other parts of the body. Bacteria may cause infections in any or all parts of the urinary tract, including the following:

  • Urethra (called urethritis)

  • Bladder (called cystitis)

  • Kidneys (called pyelonephritis)

UTIs are common in infants and young children. The frequency of UTIs in girls is much greater than in boys. About 3% of girls and 1% of boys will have a UTI by 11 years of age. A young child with a high fever and no other symptoms has a 1 in 20 chance of having a UTI. Uncircumcised boys have more UTIs than those who have been circumcised.


Symptoms of UTIs may include the following:

  • Fever

  • Pain or burning during urination

  • Need to urinate more often, or difficulty getting urine out

  • Urgent need to urinate, or wetting of underwear or bedding by a child who knows how to use the toilet

  • Vomiting, refusal to eat

  • Abdominal pain

  • Side or back pain

  • Foul-smelling urine

  • Cloudy or bloody urine

  • Unexplained and persistent irritability in an infant

  • Poor growth in an infant


If your child has symptoms of a UTI, your child's doctor will do the following:

  • Ask about your child's symptoms.

  • Ask about any family history of urinary tract problems.

  • Ask about what your child has been eating and drinking.

  • Examine your child.

  • Get a urine sample from your child.

Your child's doctor will need to test your child's urine to see if there are bacteria or other abnormalities.

Ways urine is collected

Urine must be collected and analyzed to determine if there is a bacterial infection. Older children are asked to urinate into a container.

There are 3 ways to collect urine from a young child:

  • The preferred method is to place a small tube, called a catheter, through the urethra into the bladder. Urine flows through the tube into a special urine container.

  • Another method is to insert a needle through the skin of the lower abdomen to draw urine from the bladder. This is called needle aspiration.

  • If your child is very young or not yet toilet trained, the child's doctor may place a plastic bag over the genitals to collect the urine. Since bacteria on the skin can contaminate the urine and give a false test result, this method is used only to screen for infection. If an infection seems to be present, the doctor will need to collect urine through 1 of the first 2 methods in order to determine if bacteria are present.

Your child's doctor will discuss with you the best way to collect your child's urine.


UTIs are treated with antibiotics. The way your child receives the antibiotic depends on the severity and type of infection. Antibiotics are usually given by mouth, as liquid or pills. If your child has a fever or is vomiting and is unable to keep fluids down, the antibiotics may be put directly into a vein or injected into a muscle.

UTIs need to be treated right away to

  • Get rid of the infection.

  • Prevent the spread of the infection outside of the urinary tract.

  • Reduce the chances of kidney damage.

Infants and young children with UTIs usually need to take antibiotics for 7 to 14 days, sometimes longer. Make sure your child takes all the medicine your child's doctor prescribes. Do not stop giving your child the medicine until the child's doctor says the treatment is finished, even if your child feels better. UTIs can return if not fully treated.


If the UTI occurs early in life, your child's doctor will probably want to make sure the urinary tract is normal with a kidney and bladder ultrasound. This test uses sound waves to examine the bladder and kidneys.

In addition, your child's doctor may want to make sure that the urinary tract is functioning normally and is free of any damage. Several tests are available to do this, including the following:

  • Voiding cystourethrogram (VCUG). A catheter is placed into the urethra and the bladder is filled with a liquid that can be seen on x-rays. This test shows whether the urine is flowing back from the bladder toward the kidneys instead of all of it coming out through the urethra as it should.

  • Nuclear scans. Radioactive material is injected into a vein to see if the kidneys are normal. There are many kinds of nuclear scans, each giving different information about the kidneys and bladder. The radioactive material gives no more radiation than any other kind of x-ray.


UTIs are common and most are easy to treat. Early diagnosis and prompt treatment are important because untreated or repeated infections can cause long-term medical problems. Children who have had one UTI are more likely to have another. Be sure to see your child's doctor early if your child has had a UTI in the past and has fever. Talk with your child's doctor if you suspect that your child might have a UTI.

The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

© 2010 American Academy of Pediatrics, Reaffirmed 01/2017. All rights reserved.