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Recommended imaging schedule for children 3 years or older

Authoring team

Test

Responds well to treatment within 48 hours

Atypical UTI*

Recurrent UTI*

Ultrasound during the acute infection

No

Yes**, ***

No

Ultrasound within 6 weeks

No

No

Yes **

DMSA 4-6 months following the acute infection

No

No

Yes

MCUG

No

No**

No

*

  • 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.

** ultrasound in toilet-trained children should be performed with a full bladder with an estimate of bladder volume before and after micturition

*** in a 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

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