The National Institute of Clinic Excellence publishes guidelines to assist clinicians in their investigation and management of a number of conditions, amongst them urinary tract infections in children. It is important to distinguish between a febrile (with fever >38°C) UTI and a non-febrile UTI (i.e. cystitis) as their management and investigation will be different.
It is also important not to test urine in the absence of symptoms, as boys with intact foreskins and little girls harbour innocent bacteria which may show up as an “infection” on dipstick and result in unnecessary anxiety and antibiotic treatment. The NICE guideline below clarifies the pathway and specifies which children require further investigation. If your child is being given recurrent courses of antibiotic for presumed “urine infections” please consult a Paediatric Urologist.
Please visit your GP and request a referral to Chelsea & Westminster Hospital Paediatric Urology
Miss MK Farrugia
Please e-mail [email protected] or book an appointment in Chelsea & Westminster Hospital (0203-315-8599) or BUPA Cromwell Hospital (0207-460-5700)