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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