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Basic UTI in kids

Stack #35105

QuestionAnswer
UTI one of the most recognized, treatable causes of fever in children
delayed treatment can lead to renal scarring
gold standard for diagnosis urine cx, but UA gives quick presumptive diagnosis
interpreting UA presence of leukocyte esterase or nitrates, moren then 5 WBCs, bacteria on an unspun gram-stained speciman
hospital therapy when the child does not appear toxic but is vomiting or when compliance is a concern
days of treatment ten
drug of choice Bactrim, ampicillin/amoxicillin
bacteria responsible for UTIs gram negative bacteria; E-coli, Klebsiells, Proteus
common signs and symptoms fever, vomiting, flank pain, diarrhea, irritability, malodorous urine
IV therapy toxic appearing, dehydrated, or cannot take adequate fluids
Created by: mykidsmom1204
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