Module 9 Part 2 Acute Urinary Tract Infection – Children Flashcards
What are the first-line antibiotics for treating UTIs in children?
TMP/SMX, TMP, and Nitrofurantoin (for children above 3 months).
Which antibiotics are considered second-line options for pediatric UTIs?
Amoxicillin and Cephalexin.
When is it appropriate to consider third-line antibiotics for treating UTIs in children?
Third-line antibiotics like Cefixime and Amoxicillin/Clavulanate may be considered when first and second-line options are not effective.
What should guide the choice of antibiotic for treating UTIs in children?
The choice of antibiotic should be guided by knowledge of local resistance patterns.
Why can diagnosing UTIs in children be challenging?
Symptoms vary by age, and classic symptoms may be absent, making it challenging to diagnose UTIs in young children.
Are fluoroquinolones typically recommended for children under 18 for UTI treatment?
No, fluoroquinolones are not recommended for children under 18 except in life-threatening or extraordinary circumstances.
When are imaging studies indicated for children with UTIs?
Imaging studies (VCUG, Ultrasound, DMSA scan) are indicated for various scenarios, including pyelonephritis and specific family history or clinical indicators.
Why is Amoxicillin not recommended for short-course therapy in children under 5?
Amoxicillin is not recommended for short-course therapy in children under 5 due to a high incidence of reflux.
Is Trimethoprim available in liquid form for children?
No, Trimethoprim is not available in liquid form but may be compounded when needed.
