UTI

Question 1

A urine dipstick reading is a positive screen for UTI if x2

Answer 1

Positive nitrite present
Positive leukocyte esterase

Question 2

State 3 ways to obtain urine sample

Answer 2

Suprapubic aspiration
Catheterization
Bag applied to perineum

Question 3

Indications of suprapubic aspiration for each gender x2

Answer 3

Boys- phimosis
Girls- labia adhesions

Question 4

Diagnostic criteria for a true UTI x2

Answer 4

Urinalysis showing pyuria/bacteriuria
Urine culture grows >50 000 CFU/ml of bacteria

Question 5

Significant urine cultures according to method of urine collection x3

Answer 5

Suprapubic: >10^3 organisms/ml
Catheter: >10^4 organisms/ml
Midstream: >10^5 organisms/ml

Question 6

When to order a voiding cystourethrogram x4

Answer 6

When the child develops a second UTI
If USS show hydronephrosis, scarring
Other findings to suggest vesicoureteral reflux or obstruction

Question 7

Prevention of UTI x4

Answer 7

Breastfeeding
Treat constipation
Routine circumcision
Use of daily prophylactic antibiotics