Table 2

The imaging recommended for children following a UTI, according to the NICE CG54 guidelines, presented by age categories and clinical features. Atypical features are listed below

Age categories (months)Clinical featuresUltrasoundDMSAMCUG
<6First, typical+
Atypical*+++
Recurrent+++
6–36First, typical
Atypical*++
Recurrent++
>36First, typical
Atypical*+
Recurrent++
  • *Atypical features consist of: seriously ill, poor urine flow, abdominal or bladder mass, raised creatinine, septicaemia, failure to respond to treatment with suitable antibiotic within 48 h, non-Escherichia coli infection.

  • DMSA, dimercaptosuccinic acid; NICE, National Institute of Health and Care Excellence; UTI, urinary tract infection.