TY  - CHAP
M1  - Book, Section
TI  - Urinary Tract Diseases
A1  - Jara-Almonte, Geoffrey W.
A1  - Doniger, Stephanie J.
A2  - Tenenbein, Milton
A2  - Macias, Charles G.
A2  - Sharieff, Ghazala Q.
A2  - Yamamoto, Loren G.
A2  - Schafermeyer, Robert
PY  - 2019
T2  - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
AB  - Signs  and  symptoms  of  a  urinary  tract  infection  (UTI)  may  be  nonspecific  in  neonates  and  young  infants.Urinary  catheterization  is  the  preferred  method  for  obtaining  a  urine  specimen  in  children  who  are  not  toilet  trained.Sterile  urine  cultures  (via  catheterization  or  suprapubic  aspiration)  should  be  obtained  prior  to  the  administration  of  antibiotics  in  ill-appearing  children  and  neonates.Up  to  9.8%  of  infants  younger  than  3  months  of  age  with  fever  and  UTI  are  also  bacteremic;  blood  cultures  should  be  obtained  in  these  infants.The  antibiotic  choice  for  a  UTI  must  be  guided  by  local  resistance  patterns  and  the  effectiveness  against  Escherichia  coli.Children  with  a  history  of  a  UTI  should  be  cautioned  to  seek  medical  care  in  the  first  48  hours  of  subsequent  febrile  illnesses  to  evaluate  for  a  recurrent  UTI.Approximately  90%  of  renal  stones  are  radiopaque  and  can  be  managed  medically.An  infected  obstructing  urinary  stone  is  a  urological  emergency  that  demands  emergent  urinary  tract  decompression.Computerized  tomography  (CT)  has  traditionally  been  the  imaging  modality  of  choice  for  the  diagnosis  of  renal  stone,  but  an  ultrasound-first  approach  is  increasingly  being  utilized.Recurrence  rates  of  urolithiasis  are  high  in  children  and  therefore  require  a  thorough  metabolic  evaluation  for  the  cause.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155428171
ER  -