Urinary Tract Infection (UTI) in Children Consider UTI in an infant of child with the following signs or symptoms Typical UTI Atypical UTI 1 or more of below Recurrent UTI – No features of an atypical or Seriously ill/sepsis 3 lower tract UTIs ≥ recurrent UTI present Poor urinary flow 2 upper tract UTI’s ≥ Abdominal mass 1 upper tract and 2 lower tract ≥ Raised creatinine UTI’s Non E.coli organism Failure to respond within 48 hrs Under 6 - Arrange a routine USS within 6 - Arrange an acute USS within 1 week - Arrange an acute USS within 1 week months old - If USS abnormal refer to Paeds - to outpatients for further investigation - Refer to outpatients for further investigation 6 months to - No imaging or follow up required - Arrange an acute USS within 1 week UNLESS the - Arrange a routine USS within 6 weeks. 3 years old only atypical feature is that it is an E.coli organism, - Refer to outpatients for further investigation where the USS can be within 6 weeks. - Refer to outpatients for further investigation More than 3 - No imaging or follow up required - Arrange acute USS within 1 week UNLESS the only - Arrange a routine USS within 6 weeks. years old atypical feature is that it is an E.coli organism, - Refer to outpatients for further investigation where the USS can be within 6 weeks. - If USS abnormal to Paeds For further information please refer to the full NICE guidance (CG54)
Urinary Tract Infection (UTI) in Children Consider UTI in an infant of child with the following signs or symptoms Typical UTI No features of an atypical or recurrent UTI present Atypical UTI – 1 or more of below Seriously ill/sepsis Poor urinary flow Abdominal mass Raised creatinine Non E.coli organism Failure to respond within 48 hrs Recurrent UTI ≥ 3 lower tract UTIs ≥ 2 upper tract UTI’s 1 upper tract and ≥ 2 lower tract UTI’s Under 6 months old - Arrange a routine USS within 6 - If USS abnormal refer to Paeds - Arrange an acute USS within 1 week - to outpatients for further investigation - Arrange an acute USS within 1 week - Refer to outpatients for further investigation 6 months to 3 years old - No imaging or follow up required - Arrange an acute USS within 1 week UNLESS the only atypical feature is that it is an E.coli organism, where the USS can be within 6 weeks. - Refer to outpatients for further investigation - Arrange a routine USS within 6 weeks. - Refer to outpatients for further investigation More than 3 years old - No imaging or follow up required - Arrange acute USS within 1 week UNLESS the only atypical feature is that it is an E.coli organism, where the USS can be within 6 weeks. - If USS abnormal to Paeds - Arrange a routine USS within 6 weeks. - Refer to outpatients for further investigation For further information please refer to the full NICE guidance (CG54)
CYP-UTI-one-page-guidance.docx