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However, in acute urethral syndrome (unlike in cystitis), routine urine cultures are either negative or show colony counts that are lower than the traditional criteria for diagnosis of bacterial cystitis. It is important to remember that an attempt to obtain an imaging of the thyroid in a newborn should never delay the initiation of treatment.

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After the age of 2 years, UTIs are far more common in girls. Men and boys: A sterile specimen can usually be obtained with a midstream catch.

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Many cases are diagnosed in infancy or childhood, if not later in adulthood (73b). If UTI recurs after 6 mo of prophylactic therapy, prophylaxis may be reinstituted for 2 or 3 yr.

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