The National Insitute for Health and Clinical Excellence (NICE) of the British National Health Service recommended certain imaging studies in pediatric patients with urinary tract infections.
Patient selection: pediatric patient with urinary tract infection
Age of the Patient |
Typical UTI |
Atypical UTI |
Recurrent UTI |
< 6 months |
2, 5 |
1, 3, 4 |
1, 3, 4 |
6 months to 3 years |
none |
1, 3, 5 |
2, 3, 5 |
> 3 years |
none |
1, 3 |
2, 3 |
Imaging |
Exam |
1 |
ultrasound during the acute episode |
2 |
ultrasound within 6 weeks of acute episode |
3 |
dimercaptosuccinic acid (DMSA) scan 4 to 6 months after acute infection |
4 |
micturating cystogram, routine |
5 |
micturating cystogram, for cause in selected patients (abnormal ultrasound, family history vesicoureteric reflux, etc) |
Specialty: Infectious Diseases, Urology
ICD-10: ,