Urinary tract infection (UTI) in children
Автор: MedLecturesMadeEasy
Загружено: 2023-07-23
Просмотров: 10635
Описание:
Risk factors:
Female sex
Uncircumcised male infants
Urologic abnormalities (eg, vesicoureteral reflux)
Bowel/bladder dysfunction (constipation)
Clinical features:
Infants: fever, fussiness, poor feeding
Older children: dysuria, suprapubic/flank pain
Labs / studies:
Urinalysis: leuk esterase, nitrites, WBCs
Urine culture: bacteriuria
Treatment / management:
Antibiotics (eg, cephalosporin)
First febrile UTI:
Age less than 2: renal/bladder ultrasound, followed by voiding cystourethrogram if abnormal
Age ≥2: observation alone
Recurrent febrile UTIs: RBUS & VCUG
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