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Is 20-25 Pus Cells In Urine Suggestive Of Urinary Tract Infection?

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Posted on Mon, 25 Sep 2017
Question: Hi
My baby is 3 years old.she has pus cells 20 - 25 hpf in urine.Is it something dangerous or it can be cured through medicines?

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Answered by Dr. Pradeep Kumar Jain (37 minutes later)
Brief Answer:
In most of the cases it gets cured with medications

Detailed Answer:
Hello

Thanks for asking on this platform

I have seen the reports and do understand your concern.
20-25 pus cells in urine suggests urinary tract infection.
It can be in the lower or upper part. I would like to know the clinical symptoms she is having so that I better able to help you out.
An ultrasound for kidney, ureter and bladder should be done in children below 5 years of age to find if there is any abnormality.
In most of the babies UTI improves with medication and plenty of fluids. A urinary culture should be sent to find the organism and their sensitivity pattern with antibiotics.
I won't get overly worried if she responds well with antibiotics and if USG report is normal.

I hope this helps.
Please let me know if you have any more questions.
Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Pradeep Kumar Jain (4 minutes later)
as per the symptoms, she is not able to eat anything, frequent vomitings, cough and cold and burning sensation and stomach pain while passing urine
doctor
Answered by Dr. Pradeep Kumar Jain (2 hours later)
Brief Answer:
Get an ultrasound and urinary culture done

Detailed Answer:
Hi

Thanks for follow up

From the symptoms it appears to be infection in lower urinary tract(which is less severe than upper one).
I would request you to get an ultrasound and urinary culture done.
We can start a broad spectrum antibiotic (which covers the infective organism) till the report comes.
If culture will show sensitivity pattern for that organism, the same antibiotic will be continued for 7-10 days otherwise antibiotic may need to be changed as per sensitivity pattern. In Moor of the cases symptoms improve after medical treatment only.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Is 20-25 Pus Cells In Urine Suggestive Of Urinary Tract Infection?

Brief Answer: In most of the cases it gets cured with medications Detailed Answer: Hello Thanks for asking on this platform I have seen the reports and do understand your concern. 20-25 pus cells in urine suggests urinary tract infection. It can be in the lower or upper part. I would like to know the clinical symptoms she is having so that I better able to help you out. An ultrasound for kidney, ureter and bladder should be done in children below 5 years of age to find if there is any abnormality. In most of the babies UTI improves with medication and plenty of fluids. A urinary culture should be sent to find the organism and their sensitivity pattern with antibiotics. I won't get overly worried if she responds well with antibiotics and if USG report is normal. I hope this helps. Please let me know if you have any more questions. Regards