Urinary Tract Infection in adolescent girls A common yet underestimated concern
23-Jul-2025
|
Dr Ashwini Anil Kumar Sirapanasetty
Urinary Tract Infection (UTI) is one of the most common bacterial infections affecting adolescent girls. While often brushed aside as a minor inconvenience, a UTI can significantly affect a young girl’s health, daily routine, and emotional well-being. Recognising the signs early, understanding the causes, and knowing how to prevent and treat UTIs can go a long way in protecting adolescent health.
What is a Urinary Tract Infection?
A UTI is an infection in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra. Most UTIs involve the lower urinary tract — the bladder and the urethra. When bacteria, commonly Escherichia coli (E. coli), enter the urinary tract and multiply, an infection can occur. Although anyone can get a UTI, adolescent girls are particularly vulnerable due to a combination of anatomical, hormonal, and behavioural factors.
Why Are Adolescent Girls at Greater Risk?
Several factors contribute to the higher prevalence of UTIs in adolescent girls:
Shorter Urethra: Girls have a shorter urethra than boys, which allows bacteria quicker access to the bladder.
Hormonal Changes : Puberty brings hormonal changes that can alter the vaginal flora, sometimes making it easier for bacteria to thrive.
Menstruation and Hygiene Practices: Improper menstrual hygiene or using scented sanitary products can irritate the urethra and increase susceptibility to infection.
Sexual Activity: For sexually active adolescents, UTIs can be more frequent, especially without proper hygiene or urination after intercourse.
Clothing Choices: Tight-fitting clothes, synthetic underwear, and prolonged use of wet swimsuits can create a warm, moist environment conducive to bacterial growth.
Symptoms to Watch For
The symptoms of a UTI in adolescent girls can vary from mild to severe, including:
A strong, persistent urge to urinate
A burning sensation while urinating
Passing lesser amounts of urine frequently
Cloudy or foul-smelling urine
Pelvic pain, especially around the pubic bone
Fever and chills (indicating a possible upper urinary tract infection)
It is crucial that parents and caregivers take these symptoms seriously. If left untreated, a lower UTI can ascend to the kidneys, causing a more serious infection called pyelonephritis.
Diagnosis and Treatment
Diagnosis of a UTI is usually straightforward.
(To be contd)