UTI Flashcards
What might be the only CF of UTI in kids?
Fever
Who has very vague non-specific symptoms, kids or babies?
Babies
What are the CF of UTI in BABIES? (6 things)
- Fever
- Lethargy
- Irritability
- Vomiting
- Poor feeding
- Urinary frequency
What are the CF of UTI in KIDS? (6 things)
- Fever
- Abd pain (esp suprapubic pain)
- Vomiting
- Dysuria
- Urinary frequency
- Incontinence
What CF are needed for a Dx of Acute Pyelonephritis? (2 things)
- Temp 38+
- Loin pain / tenderness
What investigation can you do for sus UTI?
Urine dipstick
What are you looking for in Dipstick of sus UTI? (2 things)
- Nitrites
- Leukocytes
Which is more indicative of UTI, Nitrites or Leukocytes?
Nitrites
If only Nitrites are present in dipstick, what should you do?
Tx as UTI
If only leukocytes are present in dipstick, what should you do?
Send urine to microbiology
What should you do for all children under 3 months w fever? (3 things)
- Immediate IV abx (e.g ceftriaxone)
- Full septic screen
- Consider lumbar puncture
What should you do for children over 3 months w fever, otherwise well?
ORAL abx
What Abx can you use for UTI kids? (4 things)
- Trimethoprim
- Nitrofurantoin
- Cefalexin
- Amoxicillin
What investigations does NICE recommend you do for Recurrent UTIs in kids? (3 things)
- US
- DMSA scan
- Micturating Cystourethrogram (MCUG)
What are the recommendations of NICE for US scans on UTI kids? (3 things)
- All babies under 6 months w first UTI –> Abd US
- Recurrent UTIs –> Abd US within 6 wks
- Atypical UTIs –> Abd US during illness