Clinical Practice Guidelines - UTI Flashcards Preview

Nelson's Pediatrics > Clinical Practice Guidelines - UTI > Flashcards

Flashcards in Clinical Practice Guidelines - UTI Deck (42):
1

Children _____ with T _____ can be suspected of UTI.

< 2 y.o., > 38° C

2

UTI Symptoms in Neonates

septic
temperature instability
poor feeding
vomiting
lethargy or irritability
jaundice
fever
poor weight gain
failure to thrive
frequency
dribbling
urgency
dysuria

3

UTI Symptoms in Infants

vomiting
fever
poor weight gain
failure to thrive
diarrhea
abdominal pain
frequency
dribbling
urgency
dysuria

4

UTI Symptoms in Adolescents

fever
poor weight gain
failure to thrive
diarrhea
abdominal pain
weak urinary stream
malodorous urine
enuresis

5

_____ is the foundation of UTI work-up.

Urinalysis

6

Proper Urine Collection:
< 1 y.o.

suprapubic tap

7

Proper Urine Collection:
Cooperative Patients

midstream urine

8

_____ on an uncentrifuged urine specimen has the best sensitivity.

Gram Stain

9

_____ has a sensitivity of 0.88 for the presence of leukocyte esterase or nitrate.

Urine Dipstick Test

10

Pyuria in Centrifuged Urine

> 5 WBC/hpf

11

Pyuria in Uncentrifuged Urine

> 10 WBC/mm3

12

_____ is the gold standard for diagnosing UTI.

(+) growth on Urine CS

13

A suprapubic tap is done with a _____ puncturing _____.

3 cc syringe with a g. 25 needle
1 cm above the symphysis pubis, midline

14

Diagnosis of UTI:
Suprapubic Tap

growth of any urinary pathogen

*except 2-3 x 10^3 CFU/ml of CONS

15

Diagnosis of UTI:
Catheterization

50,000 CFU/ml of a single pathogen

16

Diagnosis of UTI:
Midstream Urine - Symptomatic

10^5 CFU/ml of a single urinary pathogen

17

Diagnosis of UTI:
Midstream Urine - Asymptomatic

10^5 CFU/ml of a single urinary pathogen

*2 specimens on different days

18

_____ is the most common abnormality in patients with UTI.

Vesicoureteral Reflux (30-40%)

19

_____ evaluates the presence of vesicoureteral reflux.

Voiding Cystourethrography

20

Oral Treatment of UTI:
Amoxicillin

20-40 mkday x 3 doses

21

Oral Treatment of UTI:
TMP-SMX

6-12 mg TMP + 30-60 mg SMX kday x 2 doses

22

Oral Treatment of UTI:
Sulfisoxazole

120-150 mkday x 4 doses

23

Oral Treatment of UTI:
Cefixime

8 mkday x 2 doses

24

Oral Treatment of UTI:
Cephalexin

50-100 mkday x 4 doses

25

Oral Treatment of UTI:
Cefpodoxime

10 mkday x 2 doses

26

Oral Treatment of UTI:
Cefpozil

30 mkday x 2 doses

27

Oral Treatment of UTI:
Loracarbef

150-300 mkday x 2 doses

28

Parenteral Treatment of UTI:
Ceftriaxone

75 mkday

29

Parenteral Treatment of UTI:
Cefotaxime

150 mkday q6

30

Parenteral Treatment of UTI:
Ceftazidime

150 mkday q6

31

Parenteral Treatment of UTI:
Cefazolin

50 mkday q8

32

Parenteral Treatment of UTI:
Gentamicin

7.5 mkday q8

33

Parenteral Treatment of UTI:
Tobramycin

5 mkday q8

34

Parenteral Treatment of UTI:
Ticarcillin

300 mkday q6

35

Parenteral Treatment of UTI:
Ampicillin

100 mkday q6

36

_____ antibiotics have low serum levels but high urinary levels.

Prophylactic

37

Prophylactic antibiotics are given at _____.

1/2 dose
bedtime

38

Prophylaxis for UTI:
TMP-SMX

2 mg TMP + 10 mg SMX/kg as single bedtime dose
5 mg TMP + 25 mg SMX/kg 2x/week

39

Prophylaxis for UTI:
Nitrofurantoin

1-2 mkday OD

40

Prophylaxis for UTI:
Sulfisoxazole

10-20 mkday q12

41

Prophylaxis for UTI:
Nalidixic Acid

30 mkday q12

42

Prophylaxis for UTI:
Methenamine Mandelate

75 mkday q12