UTI in children


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-uretic reflux
- Constipation 
-Dysfunctional voiding 
- Enlarged bladder 
- Abdominal mass
-Evidence of spinal lesion
-Poor growth high blood pressure 
Symptoms and signs:
1. Age < 3:
      Most common: fever, vomiting, lethargy, irritability 
      Less common:poor feeding, failure to thrive 
       Least common: abdominal pain, jaundice, haematuria, offensive urine 
2. Age > 3:
         Most common: fever
         Less common: abdominal pain, loin tenderness,vomiting,poor feeding
           Least common: lethargy, irritability, haematite's,  offensive urine,  failure to thrive 
Urine sampling:
   - a clean catch sample should be obtained 
- if not possible 
     > use non invasive method i.e urine collection pad
      >don't use cotton wool balls,  gauze or sanitary towels 
- if non invasive method not possible: use catheter 
   - specific urinary symptoms 
  - urine for urgent culture and sensitivity
  - start antibiotic treatment.



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notes.nursium.com: UTI in children
UTI in children
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