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학습 자료 둘러보기 →The primary cause of pediatric UTI is ascending infection with fecal flora, most commonly Uropathogenic E. coli. The priority intervention is teaching proper perineal hygiene, specifically wiping front to back after toileting. This mechanically prevents bacterial transfer from the anus to the urethra.
For a 4-year-old child, involve both the child and caregiver. Use simple, concrete terms like "wipe from where pee comes out towards your bottom." This is a foundational, non-pharmacological strategy that empowers lifelong recurrence prevention.
Avoid instructing the child to hold urine, as this causes urinary stasis and promotes bacterial growth. Also, do not restrict fluids; encourage regular voiding and adequate hydration to dilute urine and flush bacteria from the bladder.
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