When is outpatient care appropriate for pediatric urinary tract infection (UTI)?

Updated: Mar 19, 2019
  • Author: Donna J Fisher, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Most cases of uncomplicated UTI respond readily to outpatient antibiotic treatments without further sequelae. Antibiotic resistance among uropathogens is increasing dramatically, however. Previous antibiotic exposure (ie, for otitis media) has been found to be associated with drug-resistant UTIs and should be kept in mind when choosing empiric therapy. [43]

The choice of outpatient versus inpatient care can often be guided by practical considerations. Outpatient care is reasonable if the following criteria are met:

  • A caregiver with appropriate observational and coping skills

  • Telephone and automobile at home

  • The ability to return within 24 hours

  • The patient has no need for oxygen therapy, IV fluids, or other inpatient measures


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