13.2 UTIs and Reflux

Question 1

treat asymptomactic bacteriuria?

Answer 1

nope

Question 2

boys or girls get UTIs <1 yr old?

Answer 2

boys

Question 3

if leuks neg and nitrites positive, then what?

Answer 3

• should have Abx

- send for MCS

Question 4

if leuks positive, nitrites negative, then what?

Answer 4

• send urine MCS

- no Abx unless good evidence

Question 5

what Abx for enterococcus species?

Answer 5

ampicillin

Question 6

main bugs for infants for UTI?

Answer 6

E.Coli

Enterococcus

Question 7

treatment length for cystitis v pyelo?

Answer 7

cystitis: 2-4 days
pyelonephritis: 7-10 days

Question 8

who gets IV antis for UTIs?

Answer 8

super unwell

neonates under 3/12

Question 9

what test of choice to check boys for recurent UTIs?

Answer 9

-MCUG (with prophylactic Abx)
Micturating Cystourethrogram
-ultrasound

Question 10

what bugs are red flags for futher investigation in UTI?

Answer 10

Staph aureus
pseudomonas
-also poor stream in boys

Question 11

what scan for kidney to check for size, scarring, etc?

Answer 11

DMSA scan

S for scarring

Question 12

prevention of recurrent UTIs

Answer 12

low dose Abx (over 24 month period by 13%)

-but higher chance of resistance

Question 13

prevention of recurrent UTIs for boys

Answer 13

circumcision

Question 14

cranberry juice for prevention of recurrent UTIs?

Answer 14

• does not reduce risk of at least 1 recurrence

- does reduce number of infections per year