Uti advice needed

[Utis]

Sorry to post here, but am hoping there’ll be some medic traffic :) Our 10yo daughter is under immunology investigation due to various infection related illnesses. Aside from these infections, she also gets really frequent and often severe utis. Since she was around 18mths she’s had increasing frequency, sometimes every month. Now averaging 6 to 8 per year. So far these have grown a variety of organisms, Proteus, Klebsiella, Enterococci, Multi resistant Ecolis, and various Streptococci. She is now being treated for a group b strep uti, and her GP doesn’t seem too concerned that this particular bug has returned 3 times in 2 months. Just orders another culture, gives her another prescription and shrugs about how it’s just one of those things.
So my question is..is it just one of those things?? Does this sound like its immunology related, or do uti prone children without other underlying issues, frequently get multiple growths of different uti organisms in this way? Just curious to know what’s normal on the uti spectrum of normal?! Thank you

www.angelakilmartin.com/cystitis-water-bladder-urinary-infections/

www.fedup.com.au/factsheets/symptom-factsheets/bladder-problems-in-adults

Try these.

Thanks Sandgroper, there’s a lot of literature out there relating to adult uti, and the scourge of ‘honeymoon cystitis’ type uti for sexually active adult females, but there is not so much regarding children, and the additional risks this particular group poses. A lot of adult females, tend to develop longer term issues with bladder issues and often have little substantial growth when cultured, so doctors rightly struggle to treat these cases. But in a young child with consistent culture proven significant growths of identified pathogens, I am wondering how frequent is this seen? Does anyone have any similar experience, or if you are a nurse practitioner /GP, is this frequency within the ‘normal’ spectrum for paediatric uti based on cases you see?
And would you generally see this range of pathogens? Most uncomplicated uti in adult females, is causes by E-coli or staph...but our daughter has had a range of growths. For instance, although Strep b is commonly carried in the urinary tract, it doesn’t usually cause disease...is this commonly seen in children with immune related issues? Or is it seen in the general population too?
Thank you, really keen to hear of any experience with this.