Professional Documents
Culture Documents
Infections
Dr.Fahad Gadi, MD
Pediatrics Demonstrator
King Abdulaziz University
Rabigh Medical School
Objectives
Define Urinary Tract Infection (UTI)
List antibiotic treatment options for UTI
List the workup after a first febrile UTI
Be familiar with the rationale for using
prophylactic antibiotics after the first febrile
UTI
Pediatric UTIs and EBM
Up to 7% of girls and 2% of boys experience a
symptomatic culture-proven UTI prior to 6
years of age.
Of febrile neonates, up to 7% have UTIs.
(See Fever without a source guidelines)
Most UTIs in children are from ascending
bacteria
E. coli (60-80%), Proteus, Klebsiella, Enterococcus,
and coag. neg. staph.
Epidemiology
The overall prevalence of UTI is approximately 5
percent in febrile infants but varies widely by race and
sex.
Caucasian children had a two- to fourfold higher
prevalence of UTI as compared to African-American
children
Females have a two- to fourfold higher prevalence of
UTI than do circumcised males
Caucasian females with a temperature of 39 ºC have a
UTI prevalence of 16 percent
Approximate probability of urinary tract infection
in febrile infants and young children by
demographic group
Prevalence (pretest
Demographic group Odds
probability)