Patient :Hi my daughter is 5 she recently had 5 days on amoxislav against UTI her symptoms seemed to get better but came back after less than a week. when the tests were done she had not rotates and leukocyte esterase positive. but they didn't take the urine culture. her initial symptoms were occasional pain, frequent urination. there was no fever. now it's the same. we are on holiday now and doctor prescribed nitrofurantoin but did no tests as now it's Friday so need to wait till Monday now. should I give it to my daughter? why didn't the first antibiotic help ? I'm worried about using too much antibiotics and resistance to them. also what tests for you recommend for Monday ? thank you !!!!!
Thanks for writing in.
It will help to know if any urine culture was done initially and whether the bacteria culture report documented sensitivity to amoxiclav.
It is possible that the bacteria responded partially to amoxiclav or there was a mixed infection which is causing persisting urine infection.
Nitrofurantoin is a urine infection specific antibiotic and can be given in children in recommended doses. This particular antibiotic gets concentrated in the urinary tract and therefore is good in the treatment of urine infections.
Since you are on a holiday, you can continue nitrofurantoin on the recommendation of your doctor. If symptoms persist even after treatment with nitrofurantoin then a urine culture and sensitivity test is recommended and doing an ultrasound scan abdomen and pelvis might be required.
Please have your daughter drink adequate water and fluids.
Hope your query is answered.
Please do write back if you have any doubts.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.