Clinical Presentation

Urinary Tract Infections in Children Clinical Presentation

It may be difficult to recognise UTI in children because the presenting symptoms and signs are non-specific, particularly in infants and children younger than 3 years. The table is the NICE guide to the symptoms and signs with which infants and children present [1].

Table 1: Presenting symptoms and signs in infants and children with UTI
Age group		Symptoms and signs
Infants younger than 3 months		Fever Vomiting Lethargy Irritability	Poor feeding Failure to thrive	Abdominal pain Jaundice Haematuria Offensive urine
Infants and children, 3 months or older	Preverbal	Fever	Abdominal pain Loin tenderness Vomiting Poor feeding	Lethargy Irritability Haematuria Offensive urine Failure to thrive
Infants and children, 3 months or older	Verbal	Frequency Dysuria	Dysfunctional voiding Changes to continence Abdominal pain Loin tenderness	Fever Malaise Vomiting Haematuria Offensive urine Cloudy urine

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