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Urinary tract infection - children - Management
What follow up and aftercare should I provide for a child between 3 months and 3 years of age treated for urinary tract infection?
- Routinely review with the culture result (e.g. at around 48 hours). This can be done by telephone, but if the infant or child is not responding, they should be brought in for reassessment.
- If the infant or child has responded well and is no longer symptomatic:
- Do not send urine for culture as a 'test of cure'.
- Do not start prophylactic antibiotics.
- Refer urgently to a paediatric specialist if the infant or child has:
- Poor response to appropriate treatment.
- A history or clinical features suggesting urinary tract obstruction.
- Refer non-urgently to a paediatric specialist if the infant or child:
- Is less than 6 months old.
- Has had a previous urinary tract infection.
In depth
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