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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Fever. Taken Antibiotics. Due To UTI?

my son is 1 year old now.He had fever for past one week.i also noticed high temperature at stomach too,but his hands and legs have normal temperature.H e was on antibiotic for past one week but still he is having fever.his pus cell found to be 4-5.so my doc told to continue another dose on antibiotic.is it really due to uti?what should i do?please help me.
Mon, 24 Dec 2012
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Pediatrician,  's  Response
Hi

Usually UTI (Urinary Tract Infection) is diagnosed when pus cells are more than 5 cells per cumm in a centrifuged sample. It may be supported by the presence of bacteria in urine or positive leukocyte esterase or nitrite dipstick tests.
Confirmation is done by urine culture.

Since pus cells were on borderline with high grade fever, your doctor would have suspected UTI. You have not mentioned what antibiotic was given. If the organism is not sensitive to the antibiotic, fever might not subside.

Since fever is persisting, you may have a complete blood count/ CRP done based on which further decisions can be taken. Since already antibiotics are going on, urine culture might not be informative.

You may give him plenty of water/ cranberry juice that will help him if its UTI.
Measure the temperature and maintain a chart- to see if he really has fever.

Hope you find my answer useful.
Wish your son a speedy recovery.

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Child Has Fever. Taken Antibiotics. Due To UTI?

Hi Usually UTI (Urinary Tract Infection) is diagnosed when pus cells are more than 5 cells per cumm in a centrifuged sample. It may be supported by the presence of bacteria in urine or positive leukocyte esterase or nitrite dipstick tests. Confirmation is done by urine culture. Since pus cells were on borderline with high grade fever, your doctor would have suspected UTI. You have not mentioned what antibiotic was given. If the organism is not sensitive to the antibiotic, fever might not subside. Since fever is persisting, you may have a complete blood count/ CRP done based on which further decisions can be taken. Since already antibiotics are going on, urine culture might not be informative. You may give him plenty of water/ cranberry juice that will help him if its UTI. Measure the temperature and maintain a chart- to see if he really has fever. Hope you find my answer useful. Wish your son a speedy recovery.