A 3-year-old female is being seen in the clinic with symptoms of a urinary tract infection. Which medication would be appropriate for a child this age?

1. Levofloxacin (Levaquin)
2. Trimethoprim-sulfamethoxazole (TMP-SMZ)
3. Fosfomycin (Monurol)
4. Ciprofloxacin (Cipro)


Correct Answer: 2
Rationale 1: Fluoroquinolones are contraindicated in children under age 18 because of the possibility of cartilage damage.
Rationale 2: TMP-SMZ is the only drug listed that can be administered safely to a child.
Rationale 3: The safety and efficacy of fosfomycin have not been established in children younger than 12 years old.
Rationale 4: Fluoroquinolones are contraindicated in children under age 18 because of the possibility of cartilage damage.
Global Rationale: TMP-SMZ is the only drug listed that can be administered safely to a child. Fluoroquinolones are contraindicated in children under age 18 because of the possibility of cartilage damage. The safety and efficacy of fosfomycin have not been established in children younger than 12 years old.

Nursing

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