Medical Management

Is directed at early diagnosis, elimination of infection, identification of causative factors to prevent infection and preservation of renal function.

Anti-infectives: dependent on identification of the microorganism and sensitivity to specific anti-infectives.

Urine Culture: reveals colonization of bacteria and identification of specific organism and sensitivity to antimicrobials.

Follow-up Management: urine cultures should be repeated monthly for 3 months, every 3 months for 6 months, and annually thereafter to ensure early detection of any recurrent symptoms. The relapse rate of UTI is high in children and tends to occur within 1-2 months after termination of antibiotic therapy.

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