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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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4 yrs old detected with UTI, prescribed Zocef, Norflox. Pus cells in urine still, advised DMSA, MCU. Is it necessary ?

My daughter is 4 yrs, 19 kg was detected with UTI one month back she was give Zocef 250mg tab for 2 weeks twice a day after 2 weeks culture reports was positive with RBC nil. anather doctor after seeng the reports prescibed norflox for two weeks, yeterday shes has completed the course and today we have give for routine urine and culture test. Routine urine is showing presence of 8-10 puss cells. What does this mean???? culture report is yet to come. Doctor has also advied DMSA Scan and MCU. Are these tests necessary???
Mon, 8 Apr 2013
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Pus cells usually indicate the presence of an infection though the culture would give a definitve answer.

It would be best to have the tests, repeated urinary tract infections in children are normally investigated by imaging. These investigations are done to make sure there is no structural abnormality in any aspect of the urinary system (kidneys, ureter, bladder, urethra) that is causing the repeated infections.
The DMSA would look at the kidneys and also assess their function.
MCU would look at the bladder and urethra.

I hope this helps
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Orthopaedic Surgeon Dr. Sunil Kumar Srivastava's  Response
Yes tests are necessary as she has chronic infection,to detect any structural or pathological cause in the urinary system
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4 yrs old detected with UTI, prescribed Zocef, Norflox. Pus cells in urine still, advised DMSA, MCU. Is it necessary ?

HI, thanks for using healthcare magic Pus cells usually indicate the presence of an infection though the culture would give a definitve answer. It would be best to have the tests, repeated urinary tract infections in children are normally investigated by imaging. These investigations are done to make sure there is no structural abnormality in any aspect of the urinary system (kidneys, ureter, bladder, urethra) that is causing the repeated infections. The DMSA would look at the kidneys and also assess their function. MCU would look at the bladder and urethra. I hope this helps