Urinary tract infection (peds): Difference between revisions

Revision as of 01:14, 14 June 2011

Bag urine results in 83% false pos
Send urine cx on all febrile infants
- 20% will have negative UA
  - Neg UA= neg LE, nit, GS & <5 WBC

Cephalexin or cefixime x 10-14 days for infants, x 7 days for children

Admit all pyelo <3 mo or if vomiting

Authors:

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 ==Background==
+*After 1yr of age occult UTI w/ (-) UA extremely rare
+*After 2yr of age UTI remains common in girls (but a/w symptoms)
-- 75% of children < 5 y/o with febrile UTIs have pyelo, 27-64% will have permanent renal scarring.
+*Associated w/ bacteremia in up to 30% of infants between 4-8wk of age
-- 10 fold increase in UTIs for uncirc boys
--After 12 mos, occult UTI w/ (-) UA xtremely rare!
 ==Diagnosis==
+*Bag urine results in 83% false pos
+*Send urine cx on all febrile infants
+**20% will have negative UA
+***Neg UA= neg LE, nit, GS & <5 WBC
+== Treatment ==
+Cephalexin or cefixime x 10-14 days for infants, x 7 days for children
-- bag urine results in 83% false pos.
+== Disposition ==
+Admit all pyelo <3 mo or if vomiting
-- send urine cx on all febrile infants, 20% will have negative UA
--Neg UA= neg LE, Nit, GS & <5 WBC
-==Treatment==
-UTI: cephalexin or cefixime, 10-14 days for infants and 7 days for children
-- treatment: infants 10-14 day course, children 7 day course of cephalexin or cefixime.
-==Disposition==
--Admit all pyelos <3 mo or if vomiting
 [[Category:Peds]]