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)
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