why Prevalence of urinary tract infecfion is high in male than in females during the 1st one year (use UpToDate as a reference )
According to UpToDate, the prevalence of urinary tract infections (UTIs) is higher in male infants during the first year of life compared to females. This is due to several factors:
1. Anatomical differences: Male infants have a shorter urethra compared to females, which makes it easier for bacteria to travel up the urinary tract and cause infection.
2. Congenital abnormalities: Male infants are more likely to have congenital abnormalities of the urinary tract, such as vesicoureteral reflux, which can increase the risk of UTIs.
3. Uncircumsized males: Male infants who are uncircumcised have a higher risk of UTIs compared to those who are circumcised. This is because bacteria can collect under the and increase the risk of infection.
4. Difficulty in diagnosing UTIs: UTIs in male infants may be more difficult to diagnose compared to females, leading to delays in treatment and potentially more severe infections.
Overall, these factors contribute to the higher prevalence of UTIs in male infants during the first year of life compared to females.