Urinary tract infection (peds)

Revision as of 01:14, 14 June 2011 by Jswartz (talk | contribs)

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