Pediatric Urinary Tract Infection Treatment & Management:
Pediatric urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age.
For Diagnosis of UTI Symptomatic child with
Urine Routine
- 10 WBCS / mm3 in un centrifuged urine sample
Urine C/S
- Single pathogen
- Colony count > one lac in mid stream sample
- Any growth in supra pubic aspirate
Avoid bag specimen for C/S
How to collect Urine For Culture
- Control temperature first with paracetamol
- Hydrate the child well with any drink which child prefers
- Clean genital area with mild soap and water
- Keep the urine container handy but don’t open it
- After half an hour of good hydration keep the genital area open
- Once you see the child passing urine, open the container, collect urine, seal it immediately, surround it with ice and send it to lab immediately
- Store the container in fridge at 4 C if delay expected
Before Starting antibiotics in a febrile child Please collect urine first
Urine Routine |
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Dip Stick |
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Urine C/S |
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Sensitivity & Specificity of rapid urine tests
Pediatric Nephrology 2011: 26: 1967-1976
| WBC | Gram stain | LE | Nitrite | Either LE or nitrite | Both LE and nitrite | |
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| Sensitivity | 74% | 91% | 79% | 49% | 88% | 45% |
| Specificity | 86% | 96% | 87% | 98% | 79% | 98% |
UTI (Urinary Tract Infection) |
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Do’s |
Don’t |
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