Acute inflammatory disease of the kidney, the causative agent of which are microbes living in the intestine of healthy people - it is a pyelonephritis. How is infection, how to treat pyelonephritis in children? Is the role of antibiotics with pyelonephritis in children? Answers to questions We are looking for in the article.
Content
Acute pyelonephritis in children — This is the inflammation of the kidney fabric, cups and pelvis, caused by conditionally pathogenic microorganisms, manifested by fever, pain and impaired renal functions. The disease clinic is characterized by the presence of a variety of symptoms and is associated with the age characteristics of the children's body. The predisposing factors are the delay in urine, the violation of its outflow during the squeezing of the ureter in case of injury, the presence of a concrement or tumor of any origin. The pathological process can be both one-sided and capture both kidneys, primary — With independent origin of the disease and the secondary arising from the presence of organic pathology of the organs of the urogenital system. It should be noted that boys and girls at school age are sick equally often, and the question of pyelonephritis therapy in children, regardless of sexuality, is rather acute.
What should alert parents?
In newborns, the disease usually begins with an increase in body temperature, vomiting and abandoning food, the appearance of signs of dehydration of the body and disruption of water-salt metabolism, intoxication and collapse. With the disease of young children, hyperthermia is observed, irritability, a frequent mood change, when the excitation is quickly replaced by the inhibitory. Meningism's phenomena are not excluded, a decrease in body weight and characteristic concern before or during urination. Older children usually complain about general weakness, headache, lethargy and nausea, all the above symptoms are enhanced with jumps, changing body position and even when coughing.
The beginning of acute pyelonephritis at an early age can remain unnoticed, because there is no bright symptoms and general intoxication more often. Only the careful eye of parents and a pediatrician's doctor makes it possible to notice forced scoliosis with a unilateral process, as well as manifestation of foot pulling without limiting mobility in the hip joint. With severe inflammation, the excretory function of the kidneys is disturbed and infectious-toxic shock develops, the manifestation of acute renal failure is possible.
Pyelonephritis diagnostic criteria
The diagnosis of acute pyelonephritis in children is based on the clinical picture of the disease, data of laboratory studies, which must be carried out 1 time in 5-7 days, as well as on indirect ultrasound signs. General urine analysis indicate the presence of pathological inclusions in it, its turbidity — This is a sign of the presence of protein, a large number of leukocytes and epithelial cells in precipitation, single erythrocytes are possible. Blood research, which appoints a children's specialist, will show an increase in ESO, moderate anemia, changing the indicators of the immune system. Differential diagnosis of the disease at any age is carried out with acute glomerulonephritis and sepsis.
How to treat pyelonephritis in children?
Treatment of the disease is aimed at combating infection, body intoxication, restoration of the excretory function of the kidneys and an increase in the active state of the body. In the acute period of the disease at elevated body temperatures, chills, intoxication and pain syndrome, bedding is defined, as well as a gentle diet without food, irritating intestines. Recommended a significant increase in the amount of fluid consumed, up to 50% relative to age-related indicators.
How to help your child than to treat? Antibiotics with pyelonephritis in children are appointed primarily, even without waiting for the results of the tests, in the event of a severe course of the disease, they are beginning to introduce parenterally, in combination with stereptics.
Therapy has long and parents should be ready for this. After taking antibiotics with pyelonephritis in children, phytotherapy with antiseptic and diuretic herbs should be applied, alkaline mineral water such as Essentuki and Smirnovskaya. The forecast for life is favorable in most cases, after illness comes full recovery, and small patients are on dispensary accounting.
