Notes in UTI

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Published	10/08/2024	{{c1::Fever}} may be the only symptom of a urinary tract infection, especially in young children
Published	10/08/2024	Acute Pyelonephritis diagnosis is made if there is either: • A temperature greater than {{c1::38}}°C • {{c1::Loin pain/tenderness }}
Published	10/08/2024	The ideal urine sample is a {{c1::clean catch}} sample, avoiding contamination.
Published	10/08/2024	{{c1::Vesico-ureteric reflux (VUR)}} is where urine has a tendency to flow from the bladder back into the ureters
Published	10/08/2024	{{c1::Micturating cystourethrogram (MCUG)}} should be used to investigate atypical or recurrent UTIs in children under 6 months.
Published	10/08/2024	A {{c1::MCUG}} is used to diagnose VUR.
Published	10/08/2024	Babies will present with very non-specific symptoms with a UTI:• {{c1::Fever}}• {{c1::Lethargy}}• {{c1::Irritability}}• {{c1::Vomiting}}• Po…
Published	10/08/2024	Signs and symptoms in older infants and children with a UTI:• {{c1::Fever}}• Abdominal pain, particularly {{c1::suprapubic}} pain • {{c1::Vo…
Published	10/08/2024	Urine Dipstick & UTI  {{c1::Nitrites}} – indicative of gram negative bacteria {{c1::Leukocytes}}Send a {{c1::midstream urine}} samp…
Published	10/08/2024	All children under {{c1::3 months}} with a fever should start immediate {{c1::IV::method}} antibiotics (e.g. {{c1::ceftriaxone}}) and have a…
Published	10/08/2024	UTI Treatment Children with features of sepsis or pyelonephritis will require inpatient treatment with IV antibiotics.Typical…
Published	10/08/2024	Investigating Recurrent UTIs Ultrasound Scans• Children with recurrent UTIs: abdominal ultrasound {{c1::within 6 weeks}}• Children with…
Published	10/08/2024	A vesico-ureteric reflux predisposes patients to developing {{c1::upper urinary tract infections}} and subsequent {{c1::renal scarring}}. Th…
Published	10/08/2024	Management of vesico-ureteric reflux depends on the severity: • Avoid {{c1::constipation}}• Avoid an {{c1::excessively full bladder}}• Take {{c1:…
Published	10/08/2024	Micturating Cystourethrogram is used where there is a {{c1::family history of vesico-ureteric reflux}}, {{c1::dilatation}} of the ureter on ultra…
Published	10/08/2024	Micturating Cystourethrogram (MCUG) involves {{c1::catheterising}} the childinjecting {{c1::contrast}} into the bladdertaking a series of {{…
Published	10/08/2024	A {{c1::vesicoureteric reflux}} can be a predisposing factor to UTIs. This is due to two mechanisms:{{c1::Urine returning to the bladder from the uret…
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