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Fever, vomiting, frequent headaches. Urinalysis showed epithelial cells, bacterial cells. Meaning?

Hello, my daughter is 9 y/o and is experiencing on and off fever with vomiting and frequent headaches.She just had a urinalysis with the following findings:color is yellow, transparency is hazy, spec. Gravity is 1.025, chemical ph is 6 glucose negative, protein negative, protein is negative,pus cells is 0-3 hpf, rbc is 0-2 per hpf, epithelial cells few,bacterial cells few. CBC was taken as well with normal findings except for neutrophils of 86 (50-80 normal value). Is this result significant to any urine tract infections?Antibiotic or alternative management you could recommend if any? Please help. Thank you
Asked On : Sun, 17 Feb 2013
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thanks for your query.

The presence of bacteria in your urine does indeed indicate the presence of a urinary tract infection. Although very rarely this can happen due to a hospital contamination of the urine sample, your daughter's condition can be clinically correlated, thus this is most probably an infection.

Although it is best to decide the antibiotic after a urine culture examination, the most commonly prescribed antibiotics used to treat a urinary tract infections are norfloxacin, ciprofloxacin, etc; a potassium chloride containing solution. In the meantime please provide your daughter with plenty of fluids, cranberry juice has also found to have benefits.

Please consult your doctor for a complete treatment chart.

I hope this information helps.

Best wishes.
Answered: Wed, 20 Feb 2013
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