Clinical Pathway for the Evaluation and
Treatment of Children with Febrile UTI
- Related Pathways
- UTI Management, Neonate and Preemies
- Urinary Tract Dilation, Perinatal
- Quality Story
- A Less Invasive Way of Screening
Young Children for UTI
- Related Video
- How to Treat Dehydration from
Stomach Bugs in Children
Risk Factors for UTI and Screening Recommendations
> 56 DAYS - NOT TOILET TRAINED
FULLY TOILET TRAINED – 18 YRS
Female Risk Factors*
- Non-black
- T ≥ 39°C
- Fever ≥ 2 days
- No source
- < 12 months
- Consider screening ≥ 3
- Recommend screening ≥ 4
*Recommend screening if prior
history of UTI, fever ≥ 2 days
history of UTI, fever ≥ 2 days
*For infants 2-3 months of age, consider lower threshold for screening
Male Risk Factors*
- Non-black
- T ≥ 39°C
- Fever ≥ 2 days
- No source
- < 6 months
Circumcised
- Consider screening ≥ 3
- Recommend screening ≥ 4
- Consider screening ≥ 2
- Recommend screening ≥ 3
All Patients
- Symptoms referable to urinary tract
- Prior history of UTI, fever ≥ 2 days
- Prolonged fever (≥ 5 days)
- Recommend screening for any of the above factors
Posted: June, 2011
Revised: October 2011, August 2014, October 2017 (Reviewed), June 2018, July 2020, August 2020
Authors: K. Shaw, MD; N. Plachter, CRNP; J. Lavelle, MD; T. Kolon, MD; R. Keren, MD; R. Patel, MD; M. Dunne, MD; J. Gerber, MD; M. Pradhan, MD; C. Jacobstein MD; T. Metjian, PharmD;M. Blackstone, MD;
Revised: October 2011, August 2014, October 2017 (Reviewed), June 2018, July 2020, August 2020
Authors: K. Shaw, MD; N. Plachter, CRNP; J. Lavelle, MD; T. Kolon, MD; R. Keren, MD; R. Patel, MD; M. Dunne, MD; J. Gerber, MD; M. Pradhan, MD; C. Jacobstein MD; T. Metjian, PharmD;M. Blackstone, MD;
References
- Urinary tract infection in children: NICE guideline
- Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months,
- Does this child have a urinary tract infection?
- Clinical decision rule to identify febrile young girls at risk for urinary tract infection.
- Antibiotic Prophylaxis and Pediatric Urinary Tract Infection
- Antimicrobial Prophylaxis for Urinary Tract Infection in Children
- Febrile Urinary Tract Infections in Children
- Impact of a More Restrictive Approach to Urinary Tract Imaging after Febrile Urinary Tract Infection
Evidence
Related Links
CHOP Programs