AboutDavid Olson, MD Expertise I would be happy to attempt to answer any questions about general pediatric topics, either medical issues or behavioral issues. This would include all the various questions one receives in a busy pediatric practice. I`m a board certified pediatrician in northern Michigan and have been in practice for over 15 years. I enjoy the teaching role I have in our practice and would enjoy the opportunity to help others with their pediatric problems.
Question My question is this:
If you saw a 2 and half year old female with her first UTI, would you immediately suggest a "reflux study" be done? That is what my child's practice says, and I don't understand why one UTI means preventative antibiotics and a pediatric urologist for a reflux study?? Seems overly proactive to me. Can you help me understand this?
Answer Hi, Amber,
The older a child becomes with the first infection, the less likely the testing will find reflux. I personally would only treat a non-febrile UTI in this age group, with this being the first infection, and then document a cure by a normal followup urine. I think the approach you are suggesting for a first infection (without a fever) in a 2 1/2 year old girl is overly aggressive. There is not a great consensus of opinion about this, however.
