Initial work-up

• Place the child on prophylactic antibiotics. Prophylaxis dose = Yu total daily dose.
• Do notarrange a routine VCUG (voiding cystourethrogram).
• Renal and bladder ultrasound may book in the Royal Children's Hospital.

When to refer

• Any child with documented febrile urinary tract infection.
• Recurrent afebrile UTI (more than 3 in one year).
• Associated hypertension or can't take blood pressure.

 Information needed

• Clinic notes.
• Urine culture documentation clean catch urine.
• Place the child on suppressive antibiotics.
• If renal and bladder radiology has been done at another facility, have patient bring films to appointment.

 Resources

Kids Connect (RCH Primary Care Liaison)

Kids Health Info (Parent factsheets online)

Contact information                 

References

Paediatric Handbook (2009) Renal conditions and enuresis, Chapter 32 (pp546-566); Colin Jones and Annie Moulden; Eighth Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia