Author: Ruth Charlton, Nicola McDonald / Editor: Maya K Naravi, Chris Wearmouth / Reviewer: Suzy Connor / Code: / Published: 22/06/2021
Description:
This session explores the diagnosis and treatment of UTIs in children, as well as who needs further investigation.
After completing this session you will be able to:
- Identify the indications for obtaining urine specimens from children
- Describe the procedures used to obtain urine samples at different ages and the limitations and strengths of each
- Interpret the results of investigations and determine appropriate follow up and investigation
- Be aware of the appropriate first line management of UTIs in children
References:
- National Institute for Health and Clinical Excellence. Clinical Guideline 54. Urinary tract infection in under 16s: diagnosis and management. 2007 (Updated 2018); London: NICE.
- Alper BS, Curry SH. Urinary tract infection in children. American Family Physician. 2005; 72(12): 2483-8.
- Shaikh N, Ewing AL, Bhatnagar S, Hoberman A. Risk of renal scarring in children with a first urinary tract infection: a systematic review. Paediatrics 2010 Dec; 126 (6): 1084-91
- National Institute for Health and Clinical Excellence. NICE Guideline 143. Fever in under 5s: assessment and initial management. 2019; London: NICE.
- Kaufman et al., Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. 2017; 357;j1341
- National Institute for Health and Clinical Excellence. NICE guideline 111. Pyelonephritis (acute): antimicrobial prescribing. 2018; London: NICE.
- National Institute for Health and Clinical Excellence. [NICE guideline 109] Urinary tract infection (lower): antimicrobial prescribing. 2018; London: NICE
- Kaufman, J., Temple-Smith, M., & Sanci, L. Urinary tract infections in children: an overview of diagnosis and management. BMJ Paediatrics Open, 3(1), e000487, 2019.
- National Institute for Health and Clinical Excellence. Clinical guideline 112. Urinary tract infection (recurrent): antimicrobial prescribing. 2018; London: NICE.
