week 12 Flashcards
UTi symtoms in the neonates
fever, poor feeding, vomiting, irritability, jaundice, failure to thrive
UTI symtoms- when do foul smelling urine appear
2 months -2 years
mid-stream, clean catch specimin can be obtained from who?
child who are toilet trained
obtaining an infant/small child specimin urine culture
suprapubic tap or urethral cath
false postives for UTI come from what?
bag
Dx UTI 2-24mo
50,000 colony forming units from a properly collected specimen
Dx UTI 0-2 mo
10,000- 50,000 colony forming units
when should you do an ultrasound?
why?
routine ultrasound of the urinary tract after a first febrile UTI in children aged 2-24
want to make sure there is nothing structurally wrong with the child.
length of time for abx for UTI
7-10 days even if uncomplicated
most common bug casuing UTI
e coli - 50% is resistant to amox and amp
UTI abx choices
cephalosporins
- cephalexin
- cefixime
enuresis defined
involuntary passing of urine for greater than 1 month in a child older than 5 years old
primary enuresis vs secondary- which is more common?
primary- has NEVER had a period of dryness
Secondary- after a child has been dry for greater than 6 months
MOST is primary and nocturnal
when to start treatment for enuresis
6-7 years