Urinary tract infection in under 16s: diagnosis and management

National Institute for Health and Care Excellence

Urinary tract infection (UTI) is a common bacterial infection causing illness in infants and children. It may be difficult to recognise UTI in children because of the presenting symptoms and signs are non-specific, particularly in infants and children under 3 years. Current management, which includes imaging, prophylaxis, and prolonged follow-up has placed a heavy burden on NHS primary and secondary care resources. It is costly, based on limited evidence, and is unpleasant for children and distressing for their parents or carers.

This Guidelines summary covers presenting symptoms, urine-testing strategies, and a recommended imaging schedule.

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