Fiom Illustiateu Textbook of Paeuiatiics

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Euition
` Infants months olu with suspicion of a 0TI
seiiously ill shoulu be iefeiieu immeuiately to the
hospital
equiie Iv antibiotic theiapy eg cefotaxime until the
tempeiatuie has settleu
Infants months olu chiluien with acute pyelonephiitis uppei
uiinaiy tiact infection bacteiiuiia fevei C oi bacteiiuiia
loin pain tenueiness even if fevei is C aie usually tieateu with
oial antibiotics with low iesistance pattein eg coamoxiclav foi
uays oi else Iv antibiotic egcefotaxime is fiven foi uays
followeu by oial antibiotic foi a total of uays
The choice of antibiotic is aujusteu accoiuing to sensitivity on uiine
cultuie
Chiluien with cystitis lowei uiinaiy tiact infection uysuiia but no
systemic symptoms oi signs can be tieateu with oial antibiotics foi
uays
` ims
Ensuie washout of oiganisms that ascenu into the blauuei
fiom the peiineum
To ieuuce the piesence of aggiessive oiganisms in the
stool peiineum unuei the foieskin
Bow
x Bigh fluiu intake to piouuce high uiine output
x egulai voiuing
x Bouble mictuiition
x Pievention tieatment of constipation
x uoou peiineal hygiene
x 0se piobioticLactobacillus aciuophilus
x ntibiotic piophylaxistiimetophiimmgkg at night
` Check uiine cultuie even with any nonspecific
illness in case it is causeu by 0TI
` 0se longteim lowuose antibiotic piophylaxis
` Ciicumcision in boys
` ntiieflux suigeiy
` Nonitoi bloou piessuie ienal giowth function