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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For UTI In A Child

My 3 year old son has UTI with E Coli count 10000 per Ml. doctor prescribed Taximo -3 ml 2 times and Citralka 10 ml 2 times, which we have done for 5 days. He is still getting fever with chills in the evening. We give p250 for fever. His feet and hand become cold and the rest of body becomes hot. Got a abdominal scan done to check if infection reached kidneys and was OK. Consulted another doctor who prescribed OFM -7 ml 2 times and Citralka 10 ml 3 times a day. Now what should i do
posted on Thu, 27 Nov 2014
Twitter Thu, 8 Jan 2015 Answered on
Twitter Thu, 8 Jan 2015 Last reviewed on
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Pediatrician, Pulmonology ,  's  Response
HI...an E Coli count 10000 per Ml isa not suggestive of urinary tract infection and I think what your kid is having is just a viral illness and not UTI.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F.

Regards - Dr. Sumanth
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Suggest Treatment For UTI In A Child

HI...an E Coli count 10000 per Ml isa not suggestive of urinary tract infection and I think what your kid is having is just a viral illness and not UTI. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. Regards - Dr. Sumanth