Urinary-tract-infection | Resource topic | NICE

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NICEr management of urinary tract infection in children

September 2009

Do not do

Infants and children with an alternative site of infection should not have a urine sample tested.

August 2007
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

August 2007
Asymptomatic bacteriuria in infants and children should not be treated with antibiotics.

August 2007
Antibiotic prophylaxis should not be routinely recommended in infants and children following first-time urinary tract infection (UTI).

August 2007
Asymptomatic bacteriuria in infants and children should not be treated with prophylactic antibiotics.

August 2007
Infants and children who do not undergo imaging investigations should not routinely be followed up.

August 2007
Infants and children who are asymptomatic following an episode of urinary tract infection (UTI) should not routinely have their urine re-tested for infection.

August 2007
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.

August 2007
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.

August 2007
The routine use of imaging in the localisation of a urinary tract infection (UTI) is not recommended.

August 2007

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