
Urine infection (UTI) in children
Pokenga ara mimi ki ngā tamariki
Urinary tract infections (UTIs) are an infection in your wee (urine).
They can affect any part of your urinary tract, but usually start in your bladder. They are usually caused by germs (bacteria) that enter the urinary tract. They get in through the tube that carries wee from your bladder out of your body (urethra).
UTIs are common in tamariki (children). While they are not usually serious, it is important to diagnose and treat them quickly to reduce the risk of complications.
Symptoms of a UTI in children
It can be hard to tell if your tamaiti (child) has a UTI as symptoms can be vague. Tamariki may have difficulty communicating how they feel. Common symptoms include:
- pain or burning feeling when weeing
- needing to wee more often than usual
- needing to wee during the night
- bedwetting, if previously dry
- wetting during the day when previously dry
- smelly wee
- cloudy wee
- blood in the wee
- pain in the lower part of the tummy, side or lower back
- feeling generally unwell often with loss of appetite.
Diagnosing a UTI in children
Your general practice team will usually ask questions about the symptoms your tamaiti has. They will also examine them and ask for a sample of wee to test.
Treating UTIs in children
Most UTIs in tamariki can be treated with antibiotics. Treatment is usually for 5 days or longer.
It is very important to finish the whole course of antibiotics to prevent the infection coming back.
Your general practice team may refer your tamaiti to a specialist in children’s health (paediatrician). They will do this if your tamaiti is very unwell, needs further tests or does not respond to treatment.
Getting help for your child with a UTI
If you think your tamaiti could have a UTI, contact your general practice team as soon as possible.
Go back to your general practice team if your tamaiti is not showing any signs of improvement within a day or 2 after starting antibiotics.
HealthInfo recommends the following pages
Written by HealthInfo clinical advisers. Last reviewed January 2025.
Sources
The information in this section comes from the following sources, some of which may be clinically complex or not available to the general public
BPAC – Urinary continence in adults. Retrieved March 2019.
BPAC – Urinary incontinence in women: the management of urinary incontinence in women, Retrieved February 2019.
Canterbury Community HealthPathways – Urinary incontinence in women. Retrieved February 2019.
Cochrane Review – Cranberries for Preventing Urinary Tract Infection. Retrieved April 2024.
Continence Foundation of Australia. Retrieved February 2019.
Continence Foundation of Australia – Pelvic floor muscles in men. Retrieved February 2019.
Continence New Zealand. Retrieved March 2019.
KidsHealth – Urinary tract infection. Retrieved September 2021.
NHS – Bedwetting in children. Retrieved September 2021.
NHS – Cystitis, Retrieved February 2019.
NHS – Interstitial cystitis, Retrieved January 2019.
NHS – Urinary incontinence. Retrieved March 2019.
The British Association of Urological Surgeons. Retrieved March 2019.
The British Association of Urological Surgeons – Urinary infection (adult). Retrieved February 2019.
Urological Society of Australia and New Zealand. Retrieved January 2019.
Image and embedded video sources
Day and night-time wetting video from the Primary Children's Hospital on YouTube.
Female pelvic floor muscles animated video from Continence Foundation of Australia on YouTube.
Female pelvic floor muscles illustration from Shutterstock (image ID 200938985). June 2018.
Image of a girl sitting in a car seat from Shutterstock (image ID 1850975761). January 2022.
Image of a woman holding her abdomen from Shutterstock (image ID 1802606767). April 2023.
Image of a woman in pain sitting on couch from Shutterstock (image ID 403461826). October 2019.
Image of a women reading the newspaper from jk1991 at FreeDigitalPhotos. March 2017.
Image of an elderly couple from Shutterstock (image ID 705198691). September 2019.
Male pelvic floor muscles animated video from Continence Foundation of Australia on YouTube.
Urinary system illustration from Shutterstock (image ID 179481320). April 2019.
Page reference: 47594
Review key: HIUTC-12626