One of the most common causes of fever in infants

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Results in significant morbidity in infants and children. One of the most common causes of fever in infants Long term complications that include renal scarring and decreased renal function, hypertension and at time end-stage renal disease. Take pressure off parents- very stressful Risk factors Urinary tract obstructions Urinary stasis/holding urine Anatomic differences (girls vs boys) Individual susceptibility to infection Vesicoureteral reflux Urinary retention/incomplete emptying in toddlers during toilet training. More prevalent in girls (shorter distance for bacteria to travel) Uncircumcised boys Pinworms Bubble baths MANIFESTATIONS INFANTS – watch for sepsis- happens quickly Nonspecific Fever or hypothermia in neonates Irritability Dysuria (crying when urinating) Color or odor change to urine Poor weight gain Feeding difficulties CHILDREN Abdominal or suprapubic pain Voiding frequently Voiding urgency Dysuria (burning) New or increased bed wetting Fever TREATMENT
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Antibiotics /clean catch to determine causative agent. Increased fluids Increased urination- complete emptying Cotton underwear Decrease bubble baths, hot tubs and bath oils ? sexual abuse/sexual intercourse Teach wipe from front to back. In infants frequent diaper changes/ do not wait until diaper is full. Teaching- medication adherence, hydration, maintain infants routine as much as possible.
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  • Fall '17
  • Julie Gwin

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