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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Prevent Recurring High Count Pus Cells In Urine Of A Child?

Hello Doctor, I have a 4 year old girl and she is having high count pus cells in her urine and fever, after consulting with the doctor we started with the antibiotics treatment for 15 days. Its was ok and after completing the treatment (after 3 days) she has the same symptoms and after urine test it was confirmed that she has again high count of pus cells in her urine. Please advise, so that we can prevent it in future.
Tue, 7 Apr 2020
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Pediatrician,  's  Response
Hi,

Your daughter is having UTI (urinary tract infection). Usually this needs antibiotics for 5-7 days only. Your doctor had given you for 15 days, may be because of inadequate response initially. Since it recurred shortly after completion of treatment, the bacteria was likely resistant to the given antibiotic(a common situation).

In my patients, before starting antibiotic I used to send urine culture to find out the exact organism and the drug active against that, the report will be available by 3rd or 4th day so that we can give the correct antibiotic.

Here, you have not mentioned about culture report. Even if it was not done, you need not worry- we can empirically give another class of antibiotic- your doctor will guide you, but please discuss on urine culture before starting the drug this time.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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How To Prevent Recurring High Count Pus Cells In Urine Of A Child?

Hi, Your daughter is having UTI (urinary tract infection). Usually this needs antibiotics for 5-7 days only. Your doctor had given you for 15 days, may be because of inadequate response initially. Since it recurred shortly after completion of treatment, the bacteria was likely resistant to the given antibiotic(a common situation). In my patients, before starting antibiotic I used to send urine culture to find out the exact organism and the drug active against that, the report will be available by 3rd or 4th day so that we can give the correct antibiotic. Here, you have not mentioned about culture report. Even if it was not done, you need not worry- we can empirically give another class of antibiotic- your doctor will guide you, but please discuss on urine culture before starting the drug this time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician