A 4 year old girl is brought to the clinic by her mother complaining of fever and abdominal pain since yesterday. Today, she looks uncomfortable during micturition. On examination, her temperature is 99.4, her pulse is 100/min. and her suprapubic area is soft and tender. Her blood analysis shows increased neutrophils. Her urinalysis is positive for organisms and leukocytes.
What is the drug of choice for this condition?
A- Ciprofloxacin
B- Chloramphenicol
C- C0-trimoxazole
D- Rifampin
Answer:
This a case of bacterial urinary tract infection. E-Coli is the most common organism associated with this condition. The drug of choice is co-trimoxazole. It is safe to use at his age.
Ciprofloxacin is indicated in complicated cases of urinary tract infections. It is not recommended as the first line of treatment due to its side effects.
Encourage intake of water with
co-tri to avoid Crystalurea….
Ciprofloxacin is contraindicated until age 17