Question 190 · LEK · Urinary tract infections

Which of the following is recommended in a 2-year old child diagnosed with acute pyelonephritis?

  1. A. start antibiotic therapy after receiving the result of urinary culture.
  2. B. avoid antibiotics, because it is usually viral infection.
  3. C. start antibacterial treatment after cystography.
  4. D. start antibiotic therapy as soon as possible.
  5. E. start antibiotic therapy only when the child is diagnosed with congenital hydronephrosis.
Hint

Weigh the risk of renal scarring and urosepsis against waiting for laboratory or imaging results in a febrile toddler.

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