UTI in Children

UTI in Children

PHE URINE

CKS

NICE

​Child ​less than 3 mths: refer urgently for assessment.

Child older than 3 mths use positive nitrite to guide.

Start antibiotics: also send pre-treatment MSU.

Imaging: only refer if child less than 6 months, or recurrent or atypical UTI.

Lower UTI: trimethoprim  

or nitrofurantoin 

IF susceptible, amoxicillin 

Second line: cefalexin 

Lower UTI 3 days

Upper UTI: co-amoxiclav

Second line: cefixime  

Upper UTI 7-10 days