Abstract
Objective: This study had been carried out to investigate the effects of intramuscular daily single dose antibiotic treatment during five days in the outpatient clinics in children having lower UTI and to observe the effects to the disease course in infants and toddlers.Methodology: 36 children (12 boys) at the ages of between 5–68 months were enrolled into the study. Regarding the antibiogram suitability, single dose ceftriaxon or amikacin is prescribed to the patients for five days.Result: In the urine culturesE. Coli was most commonly isolated. There was correlation between leukocytosis and insufficient weight gain (p< 0.05). A correlation was also noted between recurrence of the disease and urinary tract abnormalities detected on the ultrasonography (p< 0.05). Reenfection were detected in 1 of the infants and in 2 of the older children. There was no correlation between the recurrence and the therapy given.Conclusion: We consider that five-day intramuscular antibiotic therapy could be effective in the treatment of lower UTI and it can be recommended as a safe treatment modality in patients representing unwillingness to come to follow-up visits
Similar content being viewed by others
References
Bergman DA, Baltz RD, Cooley JR, Goldberg MJ, Hickson Homer, CJet al. American Academy of Pediatrics, Practice Parameter: The Diagnosis, Treatment, and Evaluation of the Initial Urinary Tract Infection in Febrile Infants and Young Children.Pediatrics 1999; 103: 843–852.
Moffatt M, Embree J, Grimm P, Law B. Short-Course Antibiotic Therapy for Urinary Tract Infections in Children.AJDC 1988; 142: 57–61.
Lidefelt KJ, Bollgren I, Wýman A. Single dose Treatment of Cystitis in Children.Acta Paediatr Scand 1991; 80: 648–653.
Wallen L, Zeller WP, Goessler M, Connor E, Yogev R. Single-dose of amikacin treatment of first childhood E.Coli lower urinary tract infections.J Pediatr 1983; 103: 316–319
Abrahamsson K, Hansson S, Larsson P, Jodal U. Antibiotic treatment for five days is effective in children with acute cystitis.Acta Pediatr 2002; 91: 55–58.
Honkinen O, Jahnukainen T, Mertsda J, Eskola J, Ruuskanen O. Bacteremic Urinary tract infection in children.Pediatr Infect Dis J 2000; 19: 630–634.
Hoberman A, Wald ER. Treatment of Urinary Tract Infections.Pediatr Infect Dis J 1999;28: 1020–1021.
Al-Orifi F, McGillivray D, Tange S, Kramer MS. Urine culture from bag specimens in young children: Are the risks too high?.J Pediatr 2000; 137: 221–226.
Gür D, Kanra G, Ceyhan M, Seçmeer G, Kanra B, Kaymakoglu I. Epidemiology and antibiotic Resistance of Gram Negative Urinary Pathogens in Pediatric Patients.Turk J Pediatr 1999; 41: 37–42.
Fluit AC, Jones ME, Schmiz FJ, Acar J, Gupta R, Verhoef J. Antimicrobial resistance among urinary tract infection (UTI) isolates in Europe: results from the SENTRY Antimicrobial Surveillance Program 1997.Antonie Van Leeuwenhoek 2000; 77: 147–152.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Güven, A. Intramuscular antibiotic treatment of urinary tract infection. Indian J Pediatr 71, 979–981 (2004). https://doi.org/10.1007/BF02828111
Issue Date:
DOI: https://doi.org/10.1007/BF02828111