Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Fever And Urinary Infection While On Meftal
Question: my daughter is 5 years old and has urinal infection and shivering her temperature goes up to 102 to 103 every 5 to 6 hrs, doctors prescribed meftal -p 6ml per every 6 hrs and cefpodoxmime proxetil oral suspension every 12 hrs 3ml, it is almost 2 days still fever goes up to 102 to 104 every 5 hrs what to do
Brief Answer:
Urine culture and ultrasound are mandatory now
Detailed Answer:
Hello, Sir.
I can understand your concerns.
At this point, it's important to get a urinary culture and sensitivity plus a Renal ultrasound to determine the further course of action.
This seems to be a resistant infection.
I would like to know if had Renal Scan for your baby earlier ?.If yes, please upload reports.
Thank you
Urine culture and ultrasound are mandatory now
Detailed Answer:
Hello, Sir.
I can understand your concerns.
At this point, it's important to get a urinary culture and sensitivity plus a Renal ultrasound to determine the further course of action.
This seems to be a resistant infection.
I would like to know if had Renal Scan for your baby earlier ?.If yes, please upload reports.
Thank you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
We met doctor today and told abdominal scanning is not required, suggested again to take CBP and MALARIA, even he told complete urine examination is also not required.
what he said was he is trying out "cefpodoxime proxetil " , if this medicine won't work he suggested to admit to hospital.
we will get latest test reports tomorrow morning.
we recorded the fever levels today and giving 3ml colpol 250 mg for every 4hrs through out the day stopped MEFTAL-P but gave once when temperature exceeded 101 and did not come under control immediately.
temperate time
98.8 9:40 pm--- colpol 3ml 250mg
97.6 10:50 pm
96.6 12:30 am
98.0 1:25 am
100.0 1:45 am --- colpol 3ml 250 mg
100.5 2:10 am
100.3 2:35 am
98.9 3.12 am meftal-p 5ml
98.1 4am
96.2 5am
96.1 7.30am 8:20 am colpol 3 ml 250 mg
94.8 9.20am
96.6 10.40am
96.4 11.50am
97.1 1.30pm 12.20 pm colpol 3ml 250 mg
96.9 2.10 pm
98.2 3.15 pm
97.9 3.55 pm
99.4 4.45 pm 4.50 pm colpol 3ml 250 mg
97.4 5.45 pm
98.1 7.05 pm
WBC COUNT : 11300
NEUTROPHILS 79%
LYMPHOCYTES 17%
PLATELTES 2,77,000
Complete Urine Examination:
albumin trace
pus cells 6-8 /H.P.F
EPITHELIAL CELLS 4-5/H.P.F
please suggest me what to do?, do I continue with the same doctor or change the doctor, or you suggest any medicine as reference.
regards XXXXXXX
what he said was he is trying out "cefpodoxime proxetil " , if this medicine won't work he suggested to admit to hospital.
we will get latest test reports tomorrow morning.
we recorded the fever levels today and giving 3ml colpol 250 mg for every 4hrs through out the day stopped MEFTAL-P but gave once when temperature exceeded 101 and did not come under control immediately.
temperate time
98.8 9:40 pm--- colpol 3ml 250mg
97.6 10:50 pm
96.6 12:30 am
98.0 1:25 am
100.0 1:45 am --- colpol 3ml 250 mg
100.5 2:10 am
100.3 2:35 am
98.9 3.12 am meftal-p 5ml
98.1 4am
96.2 5am
96.1 7.30am 8:20 am colpol 3 ml 250 mg
94.8 9.20am
96.6 10.40am
96.4 11.50am
97.1 1.30pm 12.20 pm colpol 3ml 250 mg
96.9 2.10 pm
98.2 3.15 pm
97.9 3.55 pm
99.4 4.45 pm 4.50 pm colpol 3ml 250 mg
97.4 5.45 pm
98.1 7.05 pm
WBC COUNT : 11300
NEUTROPHILS 79%
LYMPHOCYTES 17%
PLATELTES 2,77,000
Complete Urine Examination:
albumin trace
pus cells 6-8 /H.P.F
EPITHELIAL CELLS 4-5/H.P.F
please suggest me what to do?, do I continue with the same doctor or change the doctor, or you suggest any medicine as reference.
regards XXXXXXX
Brief Answer:
Ultrasound and UrineC/S are mandatory in children with UTI
Detailed Answer:
Hello, XXXXXXX
I apologize for the delayed response owning to my work schedule.
I have worked through your query in detail again.
Herclab reports suggest urinary tract infection as reflected by marginally elevated WBC count, fluctuations in temperature and pus cells on urine examination.
It is always best to avoid empirical antibiotic therapy in children with UTI as far as possible.
Organism specific therapy offers best results and possible cure and more importantly prevent future risks of Renal complications.
At this point, it's important to get an ultrasound as well.
In case if you have already started Cefpodixime , continue it .Change the antibiotics based on culture and sensitivity results later.
It's advisable to consult an Internal Medicine Specialist or a Nephrologist(either paediatric or adult) for expert management.
Post your further queries if any.
Thank you
Ultrasound and UrineC/S are mandatory in children with UTI
Detailed Answer:
Hello, XXXXXXX
I apologize for the delayed response owning to my work schedule.
I have worked through your query in detail again.
Herclab reports suggest urinary tract infection as reflected by marginally elevated WBC count, fluctuations in temperature and pus cells on urine examination.
It is always best to avoid empirical antibiotic therapy in children with UTI as far as possible.
Organism specific therapy offers best results and possible cure and more importantly prevent future risks of Renal complications.
At this point, it's important to get an ultrasound as well.
In case if you have already started Cefpodixime , continue it .Change the antibiotics based on culture and sensitivity results later.
It's advisable to consult an Internal Medicine Specialist or a Nephrologist(either paediatric or adult) for expert management.
Post your further queries if any.
Thank you
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. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
