1 Low yield from imaging after non E. coli urine tract infections in children treated in primary care and emergency department

ObjectivesImaging is recommended for selected children following urinary tract infections (UTI) to look for actionable structural abnormalities. Non E. coli is considered high risk in many national guidelines but evidence is mainly drawn from small cohorts from tertiary centres.To ascertain imaging...

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Bibliographic Details
Published in:Archives of disease in childhood 2023-07, Vol.108 (Suppl 2), p.A70-A71
Main Authors: Tse, Yincent, Pickles, Charles, Owens, Stephen, Malina, Michal, Peace, Richard, Gopal, Milan
Format: Article
Language:English
Subjects:
Children
Departments
E coli
Emergency medical care
Guidelines
Infants
National Standards
Primary care
Risk factors
Succinic acid
Technetium
Urinary tract
Urinary tract infections
Young Children
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Summary:ObjectivesImaging is recommended for selected children following urinary tract infections (UTI) to look for actionable structural abnormalities. Non E. coli is considered high risk in many national guidelines but evidence is mainly drawn from small cohorts from tertiary centres.To ascertain imaging yield from infants and children 100,000 cfu) in primary care, or an emergency department without admission stratified by bacteria type.MethodsData were collected from an administrative database of a UK citywide direct access UTI service between 2000 and 2021. Imaging policy mandated renal tract ultrasound and Technetium-99m dimercapto succinic acid (DMSA) scans in all children, plus micturating cystourethrogram (MCUG) in infants
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2023-rcpch.116