Urinary Tract Infection in Children

Posted by e-Medical PPT
Risk factors for UTI
  • Poor urine flow
  • Previous proved or suspected UTI
  • Recurrent fever of unknown origin
  • Antenatally diagnosed renal abnormality
  • Family history of vesico-ureteric reflux
  • constipation
  • Dysfunctional voiding
  • Enlarged bladder
  • Abdominal mass
  • Evidence of spinal lesion
  • Poor growth high blood pressure

Urine sampling
A clean catch sample should be obtained
If not possible
 Use non invasive method i.e. Urine collection pad
 Do not use cotton wool balls, gauze or sanitary towels.
If non invasive method not possible
 Use catheter sample or suprapubic aspiration

Indications for urine culture
Diagnosis of acute pyelonephritis/upperUTI
High or intermediate risk of serious illness
Single positive result on dipstick testing
Recurrent UTI
Infection that does not respond to treatment in 24-48hrs
Clinical symptoms and dipstick testing don’t correlate

Localising site of infection
Acute pyelonephritis/upperUTI
Bacteriuria and fever 38’C or higher
Bacteriuria, loin pain/tenderness and fever less than 38’C

Bacteriuria but no systemic features....

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