Question 292 · LEK · Urinary tract infections
A 3-year-old boy was admitted to emergency dept. due to high fever of > 39.5°C lasting for two days, abdominal pain, apathy, lack of appetite and urine odour. Urinalysis showed leukocyturia and the presence of nitrites. Indicate appropriate treatment:
- A. hospitalization and intravenous ampicillin.
- B. oral ciprofloxacin for 7 days.
- C. second- or third-generation cephalosporin, intravenously, orally or sequentially.
- D. sulphamethoxazole with trimetoprim for 5 days.
- E. nitrofurantoin for 5 days.
Hint
High fever with systemic symptoms and a positive urine dipstick in a toddler suggests upper tract infection; choose a drug and route suitable for that.
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