Paeds Flashcards
What is the common organism that causes a typical UTI in neonates?
E.Coli
What organisms cause atypical UTI in neonates?
Klebsiella, proteus, pseudomonas
Describe the presentation of infants with a typical UTI
Fever, vomiting, lethargy, poor feeding, jaundice, septicaemia, smelly urine, febrile convulsions, irritability
Describe the clinical presentation of an older child with a typical UTI.
Dysuria, abdominal pain, fever, lethargy, vomiting, diarrhoea, haematuria, smell/ cloudy urine
What is the first line treatment for an infant suspected of having pyelonephritis or vomiting?
IVE cefuroxime for 7 days
What to prescribe when dealing with extended spectrum beta lactamase producer bugs resistant to all penicillins and cephalosporins?
Meropenum, Tazocin, piperacilling
What are other suitable antibiotics appropriate for typical UTI firstline?
Nitrofurantoin, cefalexin, amoxicillin