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Pediatric UTI — ABFM Board MCQ

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EasyPediatrics and adolescent medicinePediatric UTIABFM Board

A 5-year-old girl has dysuria, frequency, and suprapubic discomfort. She is afebrile, well appearing, and has a positive leukocyte esterase and nitrite on urinalysis. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Oral cephalexin or another appropriate narrow-spectrum antibiotic

Afebrile uncomplicated cystitis in a well child can be treated with an appropriate oral antibiotic while culture is obtained.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html