UTIs

Question 1

Symptoms of UTI in baby

Answer 1

Fever, generalised abdominal pain, vomiting, dysuria, more wet nappies, increased frequency, incontinence, lethargy, irritability, poor feeding

Question 2

Symptoms of UTI in older child

Answer 2

Suprapubic pain, incontinence, increased frequency, dysuria, vomiting

Question 3

When is a MCUG used

Answer 3

Used to investigate atypical or recurrent UTIs in children under 6 months.
Also when FHx of reflux, dilation of ureter on US or poor urinary flow

Question 4

Diagnosis of pyelonephritis

Answer 4

Fever of >38 degrees, loin pain or tenderness, UTI picture

Question 5

Risk factors for pyelonephritis

Answer 5

Poor urinary flow, recurrent UTIs, recurrent fever of unknown origin, antenatal kidney problems, VUR or renal disease, constipation, dysfunctional voiding, enlarged bladder, spinal lesion, poor growth, HTN

Question 6

What is the best investigation for children under 2 to diagnose UTI

Answer 6

Microscopy rather than urine dip

Question 7

When to give US scans for UTIs

Answer 7

Children under 6 months, children with recurrent UTIs and atypical UTIs

Question 8

How long to give course of ABx if suspected cystitis

Answer 8

3-5 days

Question 9

How long to give course of ABx if suspected pyelonephritis

Answer 9

7-10 days

Question 10

When is a DMSA scan used

Answer 10

3-6 months after illness to assess for damage from recurrent or atypical UTIs