NICE Guideline for imaging in Urinary Tract Infection (UTI)

NICE Guideline for imaging in Urinary Tract Infection (UTI)

Ultrasound

Indicated during the acute infection for:

§  Infants below 6 months

§  Atypical UTI

§  Recurrent UTI

MCUG

Done at 2-4 weeks post UTI allowing bladder inflammation to resolve

Indications:

§  After a second UTI is diagnosed

§  After a first UTI with:

-        Abnormal ultrasound findings e.g. hydrnephrosis, scarring, obstructive      uropathy or VUR

-        Poor urine flow

-        Non E.coli UTI

-        Family history of vesico-ureteral reflux (VUR)

DMSA scan

Done at 4-6 months in order to avoid a false positive result due to renal parenchymal inflammation that may resolve

Indications:

§  Child > 3 years of age with clinical pyelonephritis

§  Atypical UTI o recurrent UTI