Urinary Tract Infection

Urinary Tract Infection

1. GU 2nd most common infection for child

2. pathophysiology:

   • infection of the upper urinary tract (pyelonephritis)
   • infection of the lower urinary tract (cystitis)
     • pyridium used for spasm (SE turns urine orange caution w/contacts)

3. infidence: high among uncircumcized boys less than 3 months

4. diagnostic/lab: UA, dip stick

   • normal UA: pH 5-9
   • specific gravity= 1.001-1.035
   • protein <20mg/dl
   • urobilinogen: 1mg/dl
   • dip stick only shows WBC, nitrates, leukocytes esterase

5. symptom of infant: fever, vomit, FTT, persistent diaper rash, foul smell , hematuria, coudy urine

6. symptoms of older child: frequency, pain, onset of bedwetting, abd pain, nausea, flank pain, chills

7. Treatment: fluid, antibiotic, antipyretic, ascorbic acid or cranberry juice

8. Teaching: no bubble bath, no fragrances, girls should wear cotton underwear & wipe front to back, boys uncircumcized should wipe tip of penis