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Urinary tract infection - children - Management
Imaging schedule recommended by NICE for children between 6 months and 3 years of age
Table 1. Imaging schedule recommended by NICE for children between 6 months and 3 years old with a urinary tract infection.
Imaging test | Responds well to treatment within 48 hours | Atypical urinary tract infection | Recurrent urinary tract infection |
|---|
Ultrasonography during the acute infection | No | Yes* | No |
Ultrasonography within 6 weeks | No | No | Yes |
DMSA (dimercaptosuccinic acid) scintigraphy 4 to 6 months after the acute infection | No | Yes | Yes |
Micturating cystourethrography | No | No† | No† |
* In an infant or child with a non–Escherchia coli urinary tract infection who is responding well to antibiotics and has no other features of atypical infection, ultrasonography can be requested on a non-urgent basis to take place within 6 weeks. † Micturition cystourethrography should be considered if the following features are present: dilatation on ultrasonography, poor urine flow, non–E. coli infection, family history of vesicoureteral reflux. |
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For further information, see Atypical urinary tract infection, and Recurrent urinary tract infection.
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