NURS 3122 Chapter Notes - Chapter 31.2: Urinary Retention, Clinical Urine Tests, Nylon
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Symptoms depend on the location of the infection and the age of the child. Symptoms in the newborn period tend to be nonspecific (e. g. , unexplained fever, hypothermia, failure to thrive, poor feeding, vomiting and diarrhea, strong-smelling urine, and irritability). Any child under 2 years of age with a fever of unknown origin should be tested for uti. Young infants initially receive parenteral antibiotics until afebrile for 24 hours and then are switched to an oral antibiotic matching organism sensitivity for a complete 10- to 14- day course. 10 14 days for children over 2 months of age. Recommended medications for febrile utis include sulfamethoxazole-trimethoprim, a second- or third-generation cephalosporin, or amoxicillin clavulanate. Length of treatment may vary according to sensitivities, medication used, and age of child. Review voiding habits if age appropriate and establish a schedule for voiding if needed to increase voiding frequency. Poor feeding, vomiting, failure to gain weight, jaundice, abdominal distention, lethargy, fever may be present.