Urinary Tract Infection in children : Imaging guidance summary NICE

Babies and children with atypical UTIs should undergo a urinary tract ultrasound during the acute infection to identify structural abnormalities. This is crucial for prompt management.

Babies younger than 6 months with a first-time UTI that responds to treatment should have an ultrasound within 6 weeks (Table 1).

Routine ultrasound for babies and children over 6 months with a first-time UTI who respond to treatment is not necessary unless they have atypical UTI (Tables 3 and 4).

Babies and children with lower UTIs should have an ultrasound within 6 weeks if they are younger than 6 months or have had recurrent infections.

A DMSA scan should be performed 4 to 6 months after the acute infection to detect renal parenchymal defects in babies and children.

If a child develops a subsequent UTI while waiting for a DMSA scan, the timing of the scan should be reviewed and possibly expedited.

Routine imaging to identify VUR in babies and children who have had a UTI is not recommended, except in specific circumstances outlined in tables 1, 2, and 3.

When performing a micturating cystourethrogram (MCUG), prophylactic antibiotics should be given orally for 3 days, with the MCUG scheduled on the second day....