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UTI kids - Ix
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> 2007 NICE guidelines - controversial In kids consider ?underlying cause and damage to kidneys ''Imaging ...'' <6/12 1st UTI which responds to Rx - USS within 6/52 >6/12 1st UTI which responds to Rx - don't image unless atypical or recurrent ''Features of atypical infection'' seriously ill poor urine flow abdominal or bladder mass raised creatinine septicaemia failure to respond to treatment within 48 hours infection with non-E.coli organisms ''?other Ix'' Dipstick is inadequate in kids (only 50% of culture pos have pyuria) so needs culture static radioisotope scan (e.g. DMSA) - identifies renal scars - do at 4-6/12 post initial infection micturating cystourethrography (MCUG) - identifies vesicoureteric reflux - <6/12 if atypical or recurrent infection
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