Variant 4: Child. Older than 6 years of age. First febrile urinary tract infection with appropriate response to medical management. Initial imaging. The incidence of new-onset UTI in children >6 years of age is low and often associated with behavioral abnormalities, dysfunctional elimination syndrome, or initiation of sexual intercourse in adolescents [78,79]. Patients AFAB are affected more often than patients AMAB [78]. The likelihood of detection of a previously unknown underlying renal anomaly is low [79]. There is no evidence to support any routine imaging in the first UTI in this group of patients. CT Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CTU Without and With IV Contrast There is no relevant literature to support the use of CTU in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. DMSA Renal Scan The NICE guidelines do not recommend DMSA renal scan for patients >6 years of age with first febrile UTI [16]. Fluoroscopy Voiding Cystourethrography The NICE guidelines do not recommend VCUG for patients >6 years of age with first febrile UTI [16]. Urinary Tract Infection-Child
Urinary Tract Infection Child. Variant 4: Child. Older than 6 years of age. First febrile urinary tract infection with appropriate response to medical management. Initial imaging. The incidence of new-onset UTI in children >6 years of age is low and often associated with behavioral abnormalities, dysfunctional elimination syndrome, or initiation of sexual intercourse in adolescents [78,79]. Patients AFAB are affected more often than patients AMAB [78]. The likelihood of detection of a previously unknown underlying renal anomaly is low [79]. There is no evidence to support any routine imaging in the first UTI in this group of patients. CT Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. CTU Without and With IV Contrast There is no relevant literature to support the use of CTU in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. DMSA Renal Scan The NICE guidelines do not recommend DMSA renal scan for patients >6 years of age with first febrile UTI [16]. Fluoroscopy Voiding Cystourethrography The NICE guidelines do not recommend VCUG for patients >6 years of age with first febrile UTI [16]. Urinary Tract Infection-Child