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    Non Carbapenem Therapy For Esbl

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    Dhan Ramadhan
    This case report describes a 4-year-old child who presented to the hospital with a 10-day history of high fever, pain while urinating, and increased urination frequency. Laboratory tests found the child had a urinary tract infection caused by Escherichia coli that produced extended-spectrum beta-lactamase. The child was diagnosed with a urinary tract infection and phimosis. Treatment with intravenous gentamicin for 7 days resolved the infection. The child recovered fully over 7 days and was scheduled for circumcision.

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    Non Carbapenem Therapy For Esbl

    Uploaded by

    Dhan Ramadhan
    18 views1 page
    This case report describes a 4-year-old child who presented to the hospital with a 10-day history of high fever, pain while urinating, and increased urination frequency. Laboratory tests found the child had a urinary tract infection caused by Escherichia coli that produced extended-spectrum beta-lactamase. The child was diagnosed with a urinary tract infection and phimosis. Treatment with intravenous gentamicin for 7 days resolved the infection. The child recovered fully over 7 days and was scheduled for circumcision.

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    This case report describes a 4-year-old child who presented to the hospital with a 10-day history of high fever, pain while urinating, and increased urination frequency. Laboratory tests found the child had a urinary tract infection caused by Escherichia coli that produced extended-spectrum beta-lactamase. The child was diagnosed with a urinary tract infection and phimosis. Treatment with intravenous gentamicin for 7 days resolved the infection. The child recovered fully over 7 days and was scheduled for circumcision.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views1 page

    Non Carbapenem Therapy For Esbl

    Uploaded by

    Dhan Ramadhan
    This case report describes a 4-year-old child who presented to the hospital with a 10-day history of high fever, pain while urinating, and increased urination frequency. Laboratory tests found the child had a urinary tract infection caused by Escherichia coli that produced extended-spectrum beta-lactamase. The child was diagnosed with a urinary tract infection and phimosis. Treatment with intravenous gentamicin for 7 days resolved the infection. The child recovered fully over 7 days and was scheduled for circumcision.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    NON-CARBAPENEM THERAPY AS AN ALTERNATIVE FOR CHILDHOOD

    URINARY TRACT INFECTION DUE TO EXTENDED-SPECTRUM Β-LACTAMASE


    (ESBL) PRODUCING ESCHERICHIA COLI IN BPJS ERA : A Case Report

    A 4-year-old children came to hospital with the main complaint of high fever since 10
    days before. The complaint was also followed by pain during urinating. It felt every time patient
    going for pee and the frequency of urination is increase. Complaints of pain during urination is
    often experienced by the patients and this complaint is the worst. Other patient complaints are
    nausea and decreased appetite. No dispneu or seizure.

    On physical examination, height 103 cm (TB / U <P (?)) and weight 14.5 kg (BW / U <P
    (?)). Nutritional status is ……… (Waterlow criteria (?)%). The vital signs include heart rate is
    108 times per minute, respiration rate is 27 times per minute, axillary temperature 38.5 Celsius.
    Patient felt pain when palpated on supra public area, there is no CVA pain, and no mass is
    obtained. Physical examination of the genitalia showed the proximal urethral is closed by the
    glans penis foreskin and cannot be pulled back.

    Laboratory finding: hemoglobin 13.2 g / dL, leukocytes 23,390 / mm3, platelets 299,000 /
    mm3. Urinalysis: urine is yellow, slightly cloudy, full leukocytes, and negative erythrocytes,
    ketones +3 and Ph 6.0. The patient performed a urine culture, and the results are : organism
    found was Escherichia coli which produced ESBL (+). From the results of the culture test, there
    are several antibiotic are sensitive to treat the infections, one of them is gentamicin.

    From anamnesis, physical examination and laboratory testing, the patient is diagnosed
    with urinary tract infection due to ESBL infection and phymosis. Patients receive gentamicin 35
    mg / 12 hours / IV (for 7 days). And the other medication for the patient are intra vena fluid
    drugs D5 ¼ NS 18 drop per minute, Ampicillin 400 mg / 6 hours / IV (for 3 days), Paracetamol
    150 mg / 8 hours / IV (if tax ≥ 38.5˚C), Ranitidine 15 mg / 12 hours / IV, Ibuprofen syr 5 cc / 6
    hours / per-oral and Domperidone syr 5 cc / 8 hours / per m-oral (if nausea /vomit). Fluid
    requirements: 1225 cc / 24 hours. Patients treated for 7 days, patients showed getting better from
    day to day. The patient is completely recovered in day 7 th and prepared for circumcision for the
    next 3 days by policlinic of surgery.

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