UTI

Question 1

What is the main presenting sx of a UTI in an infant who isn’t toilet trained?

Answer 1

fever

Question 2

dysuria, increased frequency, recurrent accidents when toilet trained & belly px are all signs of what diagnosis in what aged patient?

Answer 2

UTI in toilet trained PT

Question 3

What is the appropriate diagnostic testing in a PT <2y/o with a suspected UTI?

Answer 3

even if there’s no sign of infection in UA or dip still do culture to rule out infection

Question 4

Treatment route for infants <28 days old?

Answer 4

parenteral ABX

Question 5

What are the PARENTERAL ABX used to treat UTI in infants and young children?

Answer 5

ceftriaxone or ampicillin plus gentamicin

Question 6

Oral ABX used to treat UTI in children?

Answer 6

amoxicillin plus clavulanic acid, TMP-SFX (Bactrim), or fluoroquinolones (older children only)

Question 7

What is the indication to use a use 2nd or 3rd generation cephalosporin to treat a UTI?

Answer 7

If there’s a high likelihood of renal involvement

Question 8

What is: urine flowing up from bladder to ureter or kidney; can be primary or secondary

Answer 8

Vesicoureteral Reflux (VUR)

Question 9

Ureter duplication; neurogenic bladder; bladder outlet obstruction describes what form of VUR?

Answer 9

secondary

Question 10

most common form; congenitally caused short ureter that’s not fully compressed by bladder muscle and allows for reflux describes what form of VUR?

Answer 10

primary

Question 11

What is the first imaging test done in suspected VUR?

Answer 11

Renal US to identify abnormalities in anatomy

Question 12

What is the second imaging study used to dx VUR?

Answer 12

VCUG or Voiding Cystourethrogram to confirm dx of VUR

Question 13

Recurrent UTI can be a sign of ____ in young children and infants

Answer 13

VUR

Question 14

What is the grading system for VUR?

Answer 14

Stage I & II: less intense; resolve on own
Stage III & IV: Give prophylactic ABX to avoid future UTI; evaluate for bowel and bladder dysfunction