Term
| UTI risk factors young child |
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Definition
Sex (girls>boys)
Age (boys < 1 yr, girls <5 yr)
Race (white > African American)
Circumcision (uncirc. > circ.)
First-degree relative with a h/o recurrent UTI
Recent antibiotic use (not necessarily chronic)
Catheterization
Immunocompromise (renal transplantation, AIDS, DM)
Constipation
Voiding dysfunction
Vesicoureteral reflux (VUR)
Neurogenic bladder
Urinary tract obstruction
Double ureter on one side
Adolescents: use of barrier contraception with spermicide
Pregnancy
Pinworms |
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Term
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Definition
| Imp’t: Lactobacillus, coag.-neg. staph. and Cornybacterium are typical normal flora |
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Term
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Definition
Infants < 60 – 90 days: FTT, diarrhea, vomiting, irritability, lethargy, malodorous urine, jaundice, and fever
Children < 5 yrs: fever and GI symptoms
Children > 5 yrs: dysuria, urgency, frequency, incontinence, and suprapubic abdominal pain
Consider UTI in any febrile child <2 yrs |
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Term
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Definition
Urine culture – always get one if suspecting
Neonates & young children: suprapubic aspiration or urethral catheterization
Older children and young adults: a clean-catch specimen
******Significant bacteruria: >=100,000 colonies/ml from a clean-catch, >=1,000 from a cath., any no. like even just 1 from a suprapubic |
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