Urinary tract infection (UTI) is defined by having pyuria and ≥50,000 CFUs/mL of a single urinary tract pathogen from an appropriately collected specimen.
Upper tract infection or pye...
Babies
Nonspecific symptoms, often fever alone
Can have vomiting, irritability, poor feeding, and lethargy
Rarely, failure to thrive or jaundice
Older children
Classic symptoms of the lowe...
Empiric antibiotic therapy should be initiated in febrile children with suspected UTI in order to prevent scarring.
E. coli is the most common pathogen associated with fir...
Consider a repeat urine culture after 2 days of therapy if the patient is not improving on an appropriate antibiotic regimen.
Such patients shoul...
Gorelick MH, Shaw KN. Clinical decision rule to identify young febrile young girls at risk for urinary tract infection. Arch Pediatr Adolesc Med. 2000;154(4):386–390. [View Ab...
599.0 Urinary tract infection, site not specified
590.80 Pyelonephritis, unspecified
595.9 Cystitis, unspecified
597.80 Urethritis, unspecified
996.64 Infection and inflammatory reaction due to ...
Q: Which children should have a radiologic evaluation after a UTI?
A: Boys; febrile children <2 years, and anyone with recurrent febrile UTIs, hypertension, or family history of urinary tract ab...
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<bold>FIGURE 63-2</bold> <bold>Pathogenesis of urinary tract infections. A.</bold> Male urinary tract. <bold>B.</bold> Female urinary tract.
<bold>FIGURE 63-2</bold> <bold>Pathogenesis of urinary tract infections. A.</bold> Male urinary tract. <bold...