Difference between revisions of "Urinary tract infection (peds)"

(Created page with "==Background== - 75% of children < 5 y/o with febrile UTIs have pyelo, 27-64% will have permanent renal scarring. - 10 fold increase in UTIs for uncirc boys -After 12 mos, oc...")
 
Line 1: Line 1:
 
==Background==
 
==Background==
 
+
*After 1yr of age occult UTI w/ (-) UA extremely rare
 
+
*After 2yr of age UTI remains common in girls (but a/w symptoms)
- 75% of children < 5 y/o with febrile UTIs have pyelo, 27-64% will have permanent renal scarring.
+
*Associated w/ bacteremia in up to 30% of infants between 4-8wk of age
 
 
- 10 fold increase in UTIs for uncirc boys
 
 
 
-After 12 mos, occult UTI w/ (-) UA xtremely rare!
 
 
 
 
  
 
==Diagnosis==
 
==Diagnosis==
 +
*Bag urine results in 83% false pos
 +
*Send urine cx on all febrile infants
 +
**20% will have negative UA
 +
***Neg UA= neg LE, nit, GS & <5 WBC
  
 +
== Treatment ==
 +
Cephalexin or cefixime x 10-14 days for infants, x 7 days for children
  
- bag urine results in 83% false pos.
+
== Disposition ==
 
+
Admit all pyelo <3 mo or if vomiting
- send urine cx on all febrile infants, 20% will have negative UA
 
 
 
-Neg UA= neg LE, Nit, GS & <5 WBC
 
 
 
 
 
 
==Treatment==
 
 
 
 
 
UTI: cephalexin or cefixime, 10-14 days for infants and 7 days for children
 
 
 
- treatment: infants 10-14 day course, children 7 day course of cephalexin or cefixime.
 
 
 
 
 
 
==Disposition==
 
 
 
 
 
-Admit all pyelos <3 mo or if vomiting
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
[[Category:Peds]]
 
[[Category:Peds]]

Revision as of 01:14, 14 June 2011

Background

  • After 1yr of age occult UTI w/ (-) UA extremely rare
  • After 2yr of age UTI remains common in girls (but a/w symptoms)
  • Associated w/ bacteremia in up to 30% of infants between 4-8wk of age

Diagnosis

  • Bag urine results in 83% false pos
  • Send urine cx on all febrile infants
    • 20% will have negative UA
      • Neg UA= neg LE, nit, GS & <5 WBC

Treatment

Cephalexin or cefixime x 10-14 days for infants, x 7 days for children

Disposition

Admit all pyelo <3 mo or if vomiting