Question 65 · LEK · Urinary tract infections
In a 6-month-old girl in a good general condition, the urine for urinalysis was collected into the bag specimen. On urinalysis, 10-20 leukocytes in the visual field were noticed, urine for culture was taken. What should the pediatrician do?
- A. diagnose urinary tract infection and give an empirical antibiotic intravenously.
- B. diagnose urinary tract infection and give an empirical antibiotic orally.
- C. diagnose urinary tract infection and give a chemotherapeutic agent while waiting for the urine culture results.
- D. perform another urinalysis after mid-stream urine collection.
- E. postpone the therapeutic decision until the urine culture result is available.
Hint
Weigh how reliable a bag-collected urine sample is against how urgent treatment is in a well-appearing infant.
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