UTI r Flashcards
UTI requirements
pure growth bacteria >10^4
pus cells
risk factors for UTI
vesico-ureteric reflux
management of vesico-ureteric reflux
antibiotic prophylaxis with trimethoprim
STING operation
ureter implantation operation
presentation of UTI in younger children
often fever is only symptom lethargy irritability vomiting poor feeding polyuria
symptoms of UTI in older children
fever abdominal pain vomiting dysuria frequency incontinence
investigations for UTI
urine dipstick - unreliable in children
US
MCUG
when should you do an US in children with UTI
if they are <6 months and have recurrent UTIs
wat investigation is for VU reflux
MCUG (micturating cyst urethrogram)
management for children under 3months with fever
IV antibiotics
what children should be given IV antibiotics
children with features of sepsis or pyelonephritis
antibiotics that are commonly used in UTI
trimethoprim
nitrofurantoin
cefalexin
amoxicillin
diagnostic criteria for acute pyelonephritis in UTI
fever >38
loin pain/tenderness