A 4-month-old girl presents with fever and vomiting. She is irritable and feeding poorly. She is afebrile at triage but had 39°C at home. Examination ...

Question

A 4-month-old girl presents with fever and vomiting. She is irritable and feeding poorly. She is afebrile at triage but had 39°C at home. Examination is otherwise non-focal. Urine dipstick is positive for leukocytes and nitrites. What is the most appropriate management?

Accepted Answer

Admit to hospital for IV antibiotics and further investigation

Answer

Oral Nitrofurantoin at home with GP follow-up

Answer

Reassure and review in a week

Answer

No treatment needed if afebrile at triage

Answer

Arrange renal ultrasound only

uk-plab-1 MCQ (SBA): UTI in infants

A 4-month-old girl presents with fever and vomiting. She is irritable and feeding poorly. She is afebrile at triage but had 39°C at home. Examination is otherwise non-focal. Urine dipstick is positive for leukocytes and nitrites. What is the most appropriate management?