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I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

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Thursday, 1 May 2014

Urinary Tract Infections in Children

Up to 7% of girls and 2% of boys will have a symptomatic, culture confirmed urinary tract infection (UTI) by the age of six. The prevalence of UTI in febrile infants is approximately 7%. After a UTI, 10-30% of children have scarring


Clinical Features

Infants and children presenting with an unexplained fever of 38°C or higher, for over 24 hours, should have a urine sample tested. Infants and children with an alternative site of infection should not have a urine sample tested. When infants and children with an alternative site of infection remain unwell, urine testing should be considered after 24 hours at the latest.

How to test
Urgent microscopy and culture <3years old
>3 or no microscopy, dipstick testing may act as a substitute
Obtaining a Sample
Clean catch - less likely to be contaminated
Urine bags - useful to rule out, but not to rule in
Urine collection pads
Cotton wool balls, gauze and sanitary towels should not be used to collect urine in infants and children.

Treatments
Upper urinary tract infection - oral antibiotics (cephalosporin or co-amoxiclav) for 7 - 10  days
Lower urinary tract infections - oral antibiotics for 3 days.

Follow Up








References
http://learning.bmj.com/learning/module-intro/urinary-tract-infection-children-diagnosis-treatment-long-term-management-.html?moduleId=10011035&searchTerm=%E2%80%9CUTI%20children%E2%80%9D&page=1&locale=en_GB

http://www.enlightenme.org/the-learning-zone/node/4310
http://guidance.nice.org.uk/CG54/QuickRefGuide/pdf/English
http://dontforgetthebubbles.com/6-pem-papers-change-practice-6-getting-urine-neonates/
http://bestbets.org/bets/bet.php?id=34

6 comments:

  1. Andrew Redfern (@PaedCapeTown) tweeted at 8:09 PM on Thu, May 08, 2014:
    Dipstick Screening for Urinary Tract Infection in Febrile Infants. http://t.co/yIXkPvZsgF who screens 0-28d with dipstick only? #foamped
    (https://twitter.com/PaedCapeTown/status/464482201267372033)

    ReplyDelete
  2. That's a really nice blog post, Charlotte. I have subscribed you for reading more articles in the future. I have seen many people suffering from UTI. According to a survey report, 40% of the women and 12 % of men usually have to suffer the pain of UTI at least once in their life. One of the safest and most natural way of preventing this disease is to take Cranberry Concentrate Liquid everyday.

    Regards,
    Mantis Hugo

    ReplyDelete
  3. Thank you, glad you like it.I think many people get confused and think Cranberry juice treats - but as you say, it only prevents! Charlotte

    ReplyDelete
  4. I am al so agree with all above comments really appreciation work here...

    Medical Books Store

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  5. That's a really nice blog post..http://www.afu.ac.ae/en/finance&admin/vision-and-mission/

    ReplyDelete
  6. That's a really nice blog post..http://www.afu.ac.ae/en/finance&admin/vision-and-mission/

    ReplyDelete