Pediatric urinary tract infection

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Treatment of UTI - Aims- Rapid treatment toprevent spread to upper RT and prevent renal scar- Early detection of abnormalities-Arrange appropriate investigation- Prevent recurrence- Correct mechanical obstruction- Appropriate follow up
Antimicrobial Chemotherapy of UTI in childrenAcute treatment Dose Dosing interval Prophylaxisiv Cefotaxime 100 mg/kg/day 8 hoursiv Ampicillin +iv Gentamicin50 - 100mg/kg/day2 mg/kg/day6 hours(depends onrenal function +plasma conc.)Oral8 mg/kg/day 12 hours 1 - 2 mg/kg/nocteTrimethoprimCephradine 50 mg/kg/day 6 - 12 hoursNalidixic acid 50 mg/kg/day 6 hours 12.5 mg/kg/nocteNitrofurantoin 3 mg/kg/day 6 hours 1 mg/kg/nocteCo-amoxiclav 25 mg/kg/day 6 hours
Page 1 and 2: Pediatric urinary tractinfectionDr.
Page 3 and 4: EpidemiologyIncidence:•Boys: 1%-U
Page 5 and 6: The 3 basic forms of UTI are1-pyelo
Page 7 and 8: Cystitis (bladder involvement )clin
Page 11 and 12: Risk Factors for Urinary Tract Infe
Page 13 and 14: General urine exam
Page 15 and 16: DIAGNOSIS• Urine culture• prope
Page 17 and 18: Pyelonephritis- leukocytosis, neutr
Page 19 and 20: Who to image• All patients 2 mont
Page 21 and 22: Renal UltrasoundPROS Cheap Quick re
Page 23 and 24: Cystogram• Detect identify and gr
Page 25: Reflux Seen onVoidingCystourethrogr
Page 28 and 29: adionuclide VCUGPROS Highly sensiti
Page 32 and 33: TREATMENT• Acute cystitis should
Page 34 and 35: Acute febrile infections suggestive
Page 36 and 37: The main consequences of Pyelonephr
Page 38 and 39: Atypical UTI includes:• • serio
Page 40 and 41: prophylaxisprophylactic antibiotic

Pediatric urinary tract infection

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