New Delhi: Did you know that leaving soiled diapers on babies for extended periods can significantly increase the risk of urinary tract infections (UTIs)? It is unfortunately true. Babies, especially newborns and infants, have delicate skin and underdeveloped immune systems, making them more vulnerable to infections. Diapers are designed to absorb moisture, but when left unchanged for too long, they create a warm, moist environment that becomes a breeding ground for bacteria. This is particularly true for fecal matter, which can easily migrate to the urethral area, causing bacteria to enter the urinary tract.
How does it impact girls and boys?
In baby girls, the shorter distance between the anus and the urethra makes it easier for bacteria like Escherichia coli (E. coli) to reach the bladder, leading to infections. In boys, while the distance is slightly greater, improper cleaning and prolonged exposure to a soiled diaper can also contribute to UTIs. Additionally, the skin in the diaper area can become irritated and inflamed, breaking down the natural barrier that helps protect against bacteria.
Common symptoms of UTI in an infant
If a baby develops a UTI, they may exhibit symptoms that consist of
- High fever with chills
- Irritability in general
- Foul-smelling urine is a sure shot sign that something is no right
- Decreased appetite of the baby all of a sudden.
However, diagnosing UTIs in babies can be challenging, as these signs are often nonspecific. UTIs that are not promptly treated can lead to more severe infections, such as kidney infections, which can cause long-term damage. Recurrent UTIs in babies can lead to more serious complications, such as kidney infections (pyelonephritis), which can potentially cause long-term kidney damage. The risk of such infections increases with delays in changing diapers, particularly when hygiene practices are not followed thoroughly.
To reduce the risk of UTIs, it’s essential to change diapers frequently, clean the diaper area properly, and ensure the baby stays dry. Parents and caregivers should also be aware of the signs of infection and consult a healthcare provider if any concerning symptoms arise. Early intervention and proper hygiene practices can help prevent UTIs and ensure the baby’s overall health.
(The author is consultant pediatric urologist at the Asian Institute Of Nephrology and Urology, Hyderabad)
