Urinary tract infection (peds)

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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, occult UTI w/ (-) UA xtremely rare!


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

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