Recommended imaging schedule for infants and children 6 months or older but younger than 3 years

*

• atypical UTI includes:
  • seriously ill
  • poor urine flow
  • abdominal or bladder mass
  • raised creatinine
  • septicaemia
  • failure to respond to treatment with suitable antibiotics within 48 hours
  • infection with non-E. coli organisms
• recurrent UTI:
  • two or more episodes of UTI with acute pyelonephritis/upper urinary tract infection, or
  • one episode of UTI with acute pyelonephritis/upper urinary tract infection plus one or more episode of UTI with cystitis/lower urinary tract infection, or
  • three or more episodes of UTI with cystitis/lower urinary tract infection

**

while MCUG should not be performed routinely it should be considered if the following features are present:

• dilatation on ultrasound
• poor urine flow
• non-E. coli-infection
• family history of VUR

***

in an infant or child with a non-E. coli-UTI, responding well to antibiotics and with no other features of atypical infection, the ultrasound can be requested on a non-urgent basis to take place within 6 weeks

Reference:

1. NICE (September 2017).Urinary tract infection in children: diagnosis, treatment and long-term management