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afya
UTIPaed
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> more common in boys than girls <3/12 (more congenital abN) then more in girls 8% girls and 2% boys will have UTI in childhood Presentation infants - poor feeding, vomiting, irritability young kids - abdo pain, fever, dysuria older kids - dysuria, frequency, haematuria upper tract - temp >38, loin pain/ tender ''Urinalysis in kids (NICE)'' any Sx of UTI unexplained fever >38 explained fever not responding to Rx ''Collection'' clean catch is best if impossible use collection pad (not cotton wool ball or ST) only invasive (suprapubic) if nil else possible Mx <3/12 refer immediately >3/12 upper UTI consider admission, else Co-Amox or Ceph for 7-10/7 >3/12 lower UTI, 3/7 trimeth, nitrofuran, amoxil, ceph, review in 24-48 hrs if not improving use prophyllaxis if recurrent but not after just 1
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