UTIs in Children

by Amy Sussman, MD

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      Slides Urinary Tract Infections.pdf
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    00:01 Let's take a moment to review urinary tract infection and special populations.

    00:06 We'll start with urinary infection in children.

    00:09 So in the first year of life.

    00:11 Having a urinary tract infection is going to be more common in boys than in girls.

    00:16 And typically this is going to be associated with congenital anomalies of the urinary tract.

    00:22 After the first year of life, it's more frequent in girls than boys to present within urinary tract infection and most are going to present with acute cystitis.

    00:32 Vesicle ureter reflux needs to be excluded in this particular population.

    00:37 So it's going to be important to obtain a voiding cystourethrogram, ultrasonogram or CT scan.

    00:43 Avoiding cystourethrogram is something that our urological colleagues do for our patients.

    00:48 And essentially what they do is they insert a catheter into the bladder and insert radio contrast media and then they have the child void.

    00:55 This way they can visualize any type of anatomical defects within the bladder the urethra and they can see if there's reflux of urine back into the kidneys.

    01:03 We want to obtain these tests with the first episode of pyelonephritis in any boy or girl.

    01:09 A UTI in a boy or a girl less than three years of age or if you have recurrent infections in a girl that's greater than 3 years of age.

    01:17 The treatment for acute cystitis the same three to seven days with standard antimicrobials.

    01:24 For pyelonephritis, it's going to be on the order of 10 to 14 days and that antimicrobial treatment has to be tailored for the urine culture and sensitivities.

    01:32 Again, we want to avoid fluoroquinolones, in this case under the age of 16 because it has an effect on cartilaginous tissues.

    About the Lecture

    The lecture UTIs in Children by Amy Sussman, MD is from the course Urinary Tract Infection (UTI).

    Included Quiz Questions

    1. Vesicoureteral reflux is a predisposing factor for UTI in children.
    2. A voiding cystourethrogram is indicated in patients with suspected Alport syndrome.
    3. After the first year of life, a UTI is more frequent in boys than in girls.
    4. Trimethoprim should be avoided in children because of its effect on cartilaginous tissues.
    5. Imaging studies are not performed in the first episode of pyelonephritis.

    Author of lecture UTIs in Children

     Amy Sussman, MD

    Amy Sussman, MD

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