Current imaging of childhood urinary tract infection

Author(s): Dr J Muscat, Dr I Moorthy

Hospital: Royal Alexandra Children's Hospital

Reference: RAD Magazine, 40, 465, 27-28


Childhood urinary tract infection (UTI) is common, affecting 8% of girls and 2% of boys by the age of eight years. In this article, we aim to review the current guidelines of the UK National Institute for Health and Care Excellence (NICE) (2007) and the American Academy of Pediatrics (AAP) (2011), for the management of childhood UTI.

In 1991, the Royal College of Physicians proposed consensus guidelines for the management of childhood UTI, which recommended ultrasonography, cystography and dimercaptosuccinic acid (DMSA) scanning for almost every child following a first UTI. However, new evidence accumulated over the past two decades suggests that much less imaging is necessary.

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