Do Not Do Recommendation
Infants and children with an alternative site of infection should not have a urine sample tested.
Do Not Do Recommendation Details
- Infants and children with an alternative site of infection should not have a urine sample tested.
- urine testing
Source guidance details
- Urinary tract infection in children (CG54)
- Published date:
- August 2007
- Paragraph number:
- Page number:
View all NICE do not do from this Guidance
- C-reactive protein alone should not be used to differentiate acute pyelonephritis/upper urinary tract infection from cystitis/lower urinary tract infection in infants and children
- Asymptomatic bacteriuria in infants and children should not be treated with antibiotics.
- Antibiotic prophylaxis should not be routinely recommended in infants and children following first-time urinary tract infection (UTI).
- Asymptomatic bacteriuria in infants and children should not be treated with prophylactic antibiotics.
- Infants and children who do not undergo imaging investigations should not routinely be followed up.
- Infants and children who are asymptomatic following an episode of urinary tract infection (UTI) should not routinely have their urine re-tested for infection.
- Urine-testing strategies for children 3 years or older: If leukocyte esterase is positive and nitrite is negative, a urine sample should be sent for microscopy and culture. Antibiotic treatment for urinary tract infection (UTI) should not be started unless there is good clinical evidence of UTI (for example, obvious urinary symptoms). Leukocyte esterase may be indicative of an infection outside the urinary tract which may need to be managed differently.
- Infants and children with a minor, unilateral renal parenchymal defect do not need long-term follow-up unless they have recurrent urinary tract infection (UTI) or family history or lifestyle risk factors for hypertension.
- The routine use of imaging in the localisation of a urinary tract infection (UTI) is not recommended.
- For infants and children aged 6 months and older with first-time urinary tract infection (UTI) that responds to treatment, routine ultrasound is not recommended unless the infant or child has atypical UTI (seriously ill; poor urine flow; abdominal or bladder mass; raised creatinine; septicaemia; fails to respond to treatment with suitable antibiotics within 48 hours; infection with non-E. coli organisms).
- Routine imaging to identify vesicoureteric reflux (VUR) is not recommended for infants and children who have had a urinary tract infection (UTI), except in specific circumstances.
- Surgical management of vesicoureteric reflux (VUR) is not routinely recommended
- When results are normal, a follow-up outpatient appointment is not routinely required. Parents or carers should be informed of the results of all the investigations in writing.