Articles » Protocol for the Investigation of UTI in Children
Protocol for the Investigation of UTI in Children
FOLLOW-UP OF ANTENATAL
FETAL RENAL DILATATION
Recent research work at Christchurch Hospital has shown that post-natal follow-up has a low yield when dilatation of less than 10mm is demonstrated on scanning at 32 - 34 weeks.
Following multi-disciplinary discussions it has been agreed that follow-up should only be performed when dilatation of 10mm or more is present. Previous to this work the cut-off was 6mm. This will result in a considerable reduction in the number of infants requiring investigation.
Occasionally follow-up will be required when there are other findings (visible fluctuation, ureteric or calyceal dilatation) with lesser degrees of dilatation.
Guidelines for the Investigation of Ante-natal Fetal Renal Dilation
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Renal dilatation (>= 5mm) at 18 - 20 wks |
Repeat US at 32 - 34 weeks |
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Renal dilatation (>= 10 mm) at 32 - 34 wks |
US at 5 - 7 days, Paediatric review, |
Other Indications for Urinary Tract Imaging in Infants / Children |
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Family history of VUR in parent / sibling |
MCU and US at 6 - 8 weeks |
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Ante-natal multi-cystic dysplastic kidney |
MCU and US at 6 - 8 weeks |
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Documented UTI < 1 year of age |
MCU and US and DSMA |
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Documented UTI 1 - 5 years of age |
US (and DMSA if febrile UTI ie pyelonephritis) |
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Documented UTI > 5 years of age |
US only |
Children over the age of 1 year should only have an MCU following consultation with a paediatrician or paediatric surgeon.
Dr Andrew Long
Radiologist
CHRISTCHURCH RADIOLOGY GROUP