How should a urinary tract infection be managed?

  1. Once the urine sample has been collected, a course of antibiotics must be started, usually oral nalidixic acid 10 mg/kg 6 hourly for 7 days in children older than 3 months.
  2. In younger infants and any child with a clinical diagnosis of pyelonephritis, intravenous cefuroxime or intramuscular ceftriaxone is indicated.
  3. All children with a proven urinary tract infection must be referred for investigation. Usually an ultrasound examination is done. Other special investigations may also be needed.

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