Concerns About Urinary Tract Infections in Toilet-Training Children - Surgery

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Is there a concern for urinary tract infection in children?


Hello, doctor.
My child is currently in the process of potty training and struggles to use squat toilets when we are out.
She ends up sitting on the ground.
Although she is protected by a diaper and I clean her up afterward, I still worry about whether my cleaning might not be thorough enough and could lead to an infection.
Thank you! (I clean the diaper first before assisting her with using the toilet and cleaning her up, and I'm concerned if this process could cause any indirect infection.)

Pc, 20~29 year old female. Ask Date: 2022/12/20

Dr. Chen Bingze reply Surgery


Generally, you are unlikely to get infected because of this, especially since you have the protection of a diaper.

Reply Date: 2022/12/20

More Info


When it comes to toilet-training children, especially those who are still transitioning from diapers, concerns about urinary tract infections (UTIs) are quite common among parents. It is understandable to worry about the cleanliness and hygiene practices during this phase, particularly when children are using public restrooms or sitting on the ground. However, it is important to address these concerns with a clear understanding of how UTIs occur and the factors that contribute to them.

Firstly, urinary tract infections in children are primarily caused by bacteria entering the urinary system. The most common bacteria responsible for UTIs is Escherichia coli (E. coli), which is typically found in the intestines. In young children, particularly those who are toilet training, the risk of UTIs can be influenced by several factors, including improper wiping techniques, holding urine for too long, and anatomical differences.

In your situation, where your child is sitting on the ground while using the restroom, the risk of developing a UTI is generally low, especially if you are taking precautions such as using a diaper for protection and ensuring proper cleaning afterward. The key is to maintain good hygiene practices. After your child uses the toilet, it is crucial to wipe from front to back to prevent bacteria from the anal area from entering the urethra. If you are cleaning your child after they have used the toilet, ensure that you are thorough but gentle, and that you are using clean wipes or toilet paper.

Moreover, the concern about indirect contamination from the ground or public restrooms is valid, but the risk of infection from these sources is minimal. Bacteria that cause UTIs are not typically transmitted through surfaces like floors or toilet seats. While it is always a good practice to encourage children to wash their hands after using the restroom and to avoid touching their private areas with unwashed hands, the likelihood of contracting a UTI from sitting on a clean surface is quite low.

It is also important to monitor your child for any signs of a UTI, which may include frequent urination, a burning sensation during urination, or unusual changes in urine color or odor. If your child exhibits any of these symptoms, it would be advisable to consult a pediatrician for further evaluation.

In summary, while it is natural to have concerns about UTIs during the toilet-training phase, following proper hygiene practices can significantly reduce the risk. Encourage your child to maintain good habits, such as wiping correctly and washing hands after using the toilet. If you have any ongoing concerns or if your child shows symptoms of a UTI, do not hesitate to reach out to a healthcare professional for guidance and support. Remember, this is a normal developmental stage, and with the right practices, you can help ensure your child's health and comfort during this transition.

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