Paeds UTI

Question 1

Paeds UTI Ix

Answer 1

Clean catch urine
MSU
Catheter
Suprapubic aspiration (SPA)

Question 2

Paeds Atypical UTI presentations

Answer 2

• Failure to respond to treatment with suitable antibiotics within 48hours.
• Poor urine flow.
• Abdominal or bladder mass.
• Raised creatinine.
• Sepsis.

Question 3

Paeds UTI clinical presentations <3months

Answer 3

• Fever (Refer stat)
• Lethargy
• Vomiting
• Irritability

Question 4

When to refer a child for UTI

Answer 4

Child < 3months
Fever

for parenteral Abx

Red flag

Question 5

what is the first-line Mx for child >3 with acute pyelonephritis/upper UTI?

Answer 5

1. Cefalexine
2. Co-amox with MCS result

Question 6

what is the first-ine Mx for child >3 with Lower UTI?

Answer 6

1. Trimethroprim

Question 7

what is the second-ine Mx for child >3 with Lpwer UTI?

Answer 7

Nitrofuratoin only if eGFR >45

Question 8

what Ix is used to investigate vesicoureteral reflux

Answer 8

Micturating cystourethrogram

Question 9

what Ix is used for urinary structural abnormalities

Answer 9

USS KUB

Question 10

what Ix is used to investigate renal scarring?

Answer 10

DMSA scan

Question 11

DMSA scan indications in children with UTI

Answer 11

• Under 3 with atypical UTI
• Within 4-6 months

Question 12

Paeds UTI clinical presentations >3months

Answer 12

• Increased Frequency
• Dysuria
• Crying whilst urinating
• Bed wetting
• Abdo pain

Question 13

USS KUB indication in children with UTI

Answer 13

• all children with atypical UTI
• 1st time UTI, < 6 months, USS within 6 week

Question 14

when is MUCGEE not indicated in a child

Answer 14

Never Over ThrEE

not for age >3