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Pediatrics > UTIs In Children > Flashcards

UTIs In Children Flashcards

1
Q

Untreated persistent UTIs may lead to

A

Permanent Kidney Damage

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2
Q

What are the risk factors for UTIs

A

Vesicourethral reflux
Toilet training
Bacteria with P.Fimbriae
Labial adhesion(fusion of Labia majora and labial minora)
Constipation
Wiping from back to front in girls
Sexual activity

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3
Q

What is the major causative agent of UTI in girls

A

E.coli
Other causes: klebsiella spp, Proteus spp and pseudomonas spp

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4
Q

In boys more than a year, what is the major causative agent

A

Proteus and E.coli

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5
Q

Renal infection rarely occurs via hematogenous route Except in

A

Neonates

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6
Q

The three basic forms of UTIs are

A

Puelonephritis
Cystitis
Asymptomatic bacteriuria

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7
Q

Acute pyelonephritis can result in renal injury termed

A

Pyelonephritic scarring

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8
Q

Does cystitis cause fever and renal injury

A

No

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9
Q

Symptoms of cystitis

A

Dysuria
Urgency
Frequency
Incontinence
Suprapubic Pain
Malodorous Urine

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10
Q

What is Asymptomatic Bacteriuria

A

Positive Urine Culture without any manifestation of infection

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11
Q

Symptoms of pyelonephritis on newborn

A

Poor feeding
Irritability
Jaundice
Weight loss

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12
Q

In diagnosis of UTI what suggests renal involvement

A

White blood cell casts

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13
Q

Laboratory findings common in cystitis

A

Microscopic hematuria

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14
Q

In a urine infected with UTI what is usually positive

A

Nitrites and leukocyte esterase

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15
Q

What is pyuria

A

Leukocytes in urine

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16
Q

Sterile pyuria can occur in

A

Partially treated UTIs
Viral infections
Renal tb
UTIs in the presence of urinary obstruction
Urethritis due to STD
Interstitial nephritis

17
Q

When is a diagnosis of UTI made

A

Culture showing more than 100,000 colonies of a single pathogen
Or 10000 colonies and child is asymptomatic

18
Q

What drug is used in the Treatment of cystitis

A

Nitrofurantoin 5-7mg/kg/day
Amoxicillin 50-75mg/kg/day

19
Q

What are the drugs used in the treatment of Pyelonephritis

A

Ceftriaxone
Cefotaxime
Ampicillin + genticin
Ciprofloxacin

20
Q

How long should the antibiotic therapy of pyelonephritis last

A

10-14 days

21
Q

How long should the antibiotic therapy of cystitis last

A

5 days

22
Q

Aim of imaging studies in UTI

A

Identify Anatomical abnormalities that may predispose to infection

Determine active renal involvement

Assess renal function

23
Q

When should ultrasonography of kidneys and bladder be done

A

Children with their first episode of pyelonephritis

Children with febrile UTI
Children with positive urine culture

Pediatrics (5 decks)

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