Urinary tract infection (peds)

Background

• After 1yr of age occult UTI w/ (-) UA extremely rare
• After 2yr of age UTI remains common in girls (but a/w symptoms)
• Associated w/ bacteremia in up to 30% of infants between 4-8wk of age

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

Disposition

Admit all pyelo <3 mo or if vomiting