### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Respected Doctors - My daughter is now ten months old. Around 2 months back she was diagnosed with UTI and to cure that she was initially prescribed oral medication for a week and after that she was admitted to hospital for three days and was given Amikacin IV injections along with other medication. She was discharged after the treatment and then after few weeks she had fever again for which doctor gave IMOL and fever was gone, at this moment I went for urine normal test twice and in one report there was slight symptom of infection and the other report was clear so doctor ignored the report with the one showing symptom of infection. Now again two week back she had high fever for which doctor prescribed IMOL, the fever would not come for the duration when IMOL was effective but after every 5-6 hours fever would come back again and I have to give her IMOL again, after one week of oral medication I myself went for urine and blood report and found that the infection was there, the TLC count was soaring high around 25000, the doctor told me that she has UTI again, now she was again fed with the IV amikacin injection again. After the course of 7 days was over she was declared fit, but now when I again went for the blood report and urine normal and routine report symptom are still there. I am really worried that why is this happening again and again is there something that is missing in the treatment? Is there something that I can do to prevent this? What can be the root cause of this? Please advice me I am really concerned about this and do not know what to do. PLease let me know if I need to provide any info.

### output:

Thanks for asking question I have gone through your query. Your ten-month-old daughter had 2 episodes of UTI in last 2 months and was treated with both IV niacin and other oral medicine. First I want to tell the "DO NOT WORRY". IF was your treating pediatrician I would advise you for some test(like ultrasonography etc.) to role any structural abnormality that may because of recurrent UTI. Here is some advice that can prevent future UTI1. Get rid of constipation if present2 wiping from front to back may prevent stool bacteria to contact with urinary system opening 3 cranberry juice (50-100 ML per day)is help to prevent UTI4 Frequent diaper change prevent soiling of stool Answer for your query about root cause is that. There is no specific list of cause but those kid who have structural abnormality in urinary tract have frequent (that will be seen by ultrasonography),female child more susceptible for UTI, I want information from you about report of culture and sensitivity. So that I can see which bacteria are causing and which is appropriate Chat Doctor. 