Recurrent UTI

11 yr old female , Fever on & off since last 6 months. Dysuria , burning micturition since 5 months on & off History T/t with IV antibiotics twice . Vitals Normal Physical Examination Nad Investigations 1st episodes - plenty of pus cells in urine r/m. Culture & sensitivity - no growth . 2 nd episode- 50 pus , culture sensitivity- E. Coli USG abdomen- Normal Diagnosis UTI

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U should have gone for usg kub . Anywayas significant pus cells both times . Pus urine c/s showing e.coli . Antibiotics as c/s sensitivity report . Syp alkasol probiotics. As there are two episodes of uti in 6 months . Start the patient on prophylaxis antibiotic regimen with nitrofurantoin 1 to 2 mg /kg/day for 3 months .

Thank you doctor
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Do cbc and urine microscopy and culture Uti? .. Fugal vaginitis?

Thank you doctor
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