Cases of UTI on the rise among school children due to dirty toilets: Doctors

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A concerning trend has been observed currently, with a significant rise in urinary tract infections (UTIs) among school-age groups of four to 10 years. A high number of children are now falling victim to this painful condition due to dirty toilets. The issue arises due to a lack of hygiene education and maintenance within educational institutions. Many school and college toilets remain uncleaned for extended periods. In these unsanitary conditions, harmful bacteria thrive, leading to UTIs when students use these facilities. This not only poses a health risk but also affects students' well-being and academic performance. It is essential to take preventive measures in schools and colleges to lower the incidences of UTIs in children and improve their quality of life.

UTI occurs when bacteria, usually E.coli, enter the urethra and travel up the urinary tract, infecting the kidneys, bladder, or ureters. Health experts have observed school children with UTIs belonging to the age group four to 10 years. The girl-to-boy ratio is 2:1.

There has also been an increase since last year. Dirty toilets are primarily responsible for girls suppressing the urge to urinate. If a person holds back this urge for up to four hours, the bacteria count in their body doubles, potentially resulting in the spread of infection and the development of UTI. School girls frequently find themselves skipping classes due to urinary tract infections, and this illness tends to instil a heightened fear of using school restrooms.

Consequently, they either reduce their water intake or suppress the urge to urinate, creating an environment that fosters bacterial growth. UTIs are not only painful, but they can also have long-term health consequences if left untreated.

"Children are at a higher risk of contracting UTIs because their immune systems are still developing, making them more susceptible to infections. Inadequate hygiene practices, such as not properly washing hands or not wiping yourself properly after using the toilet, can introduce harmful bacteria into the urinary tract," says Dr Atul Palwe, Consultant paediatrician and neonatologist, Motherhood Hospital, Lulla Nagar, Pune.

UTIs don't discriminate against age when it comes to causing discomfort and distress; they affect children just like adults. The symptoms of UTI are frequent urination, accompanied by pain or a burning sensation. Children may also experience bedwetting. Parents need to be vigilant and look out for signs such as persistent fever, foul-smelling urine, and abdominal pain.

In some cases, UTIs in children can go unnoticed or be misdiagnosed as other conditions such as bladder infections or kidney problems. This highlights the necessity of seeking medical attention when parents suspect that the child may have a UTI. Girls are more prone to developing UTIs due to their shorter urethra and its proximity to the anus, making it easier for bacteria to enter the urinary tract. Encouraging young girls to wipe from front to back after using the toilet helps prevent the spread of bacteria that could cause UTIs. Being able to recognise potential UTI symptoms early on allows parents to seek appropriate treatment promptly and prevent further problems like vomiting, tiredness, and lethargy, irritability, not eating from arising.

"To avoid the problem of UTI, drink 3 litres of water daily, maintain personal hygiene and wash the intimate area twice a day with soap," says Dr Samrat Shah, internal medicine expert, Apollo Spectra Pune.

"It is essential to clean and disinfect toilets regularly to prevent the buildup of bacteria. Neglecting this task not only increases the chances of UTIs but also exposes children to other gastrointestinal illnesses caused by ingesting faecal matter or coming into contact with contaminated surfaces. A clean toilet reduces the risk of bacterial transmission and keeps our little ones safe from potential infections. Consequently, integrating hand hygiene education into schools' curriculum becomes crucial in raising awareness about maintaining clean facilities and preventing the spread of infection-causing bacteria. Schools and colleges need to recognise the alarming increase in UTI cases among their student population due to dirty toilets. This issue calls for immediate action to improve sanitation practices within educational environments. By prioritising regular cleaning schedules, implementing proper hygiene protocols, and educating students about preventive measures like thorough hand washing after toilet use, it is possible to mitigate the spread of UTIs among children," concludes Dr Atul Palwe.

Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.