The National Insitute for Health and Clinical Excellence (NICE) of the British National Health Service have given criteria for distinguishing a typical from atypical urinary tract infection in a pediatric patient.
Patient selection: pediatric patient with urinary tract infection
A typical urinary tract infection is one that responds within 48 hours of starting appropriate antibiotic therapy and that does not have any unusual features.
An atypical urinary tract infection may have one or more of the following findings:
(1) failure to respond after 48 hours of appropriate antibiotic therapy
(2) elevated serum creatinine concentration
(3) poor urine flow
(4) mass in abdomen or bladder
(5) infection caused by an organism other than E. coli
(6) septicemia
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