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Direct referral for the investigation of First UTI in childhood

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					Direct referral for the investigation of First UTI in
childhood
                                      Child with UTI




                                         Treat UTI
                                 (if not already started)
                                 Then Start Prophylaxis




                                 Direct referral to X-ray
                                 dept. at the Royal Alex



  -       Request “Investigation of UTI” on standard Xray request form
  -       All infants (<1 yr) will get U/S, MCU and DMSA
  -       Enclose copy of urinalysis result or specify evidence of UTI
  -       If wished, name specialist for referral should it become necessary



  Ultrasound                                                            Ultrasound result
  result                                                                abnormal or equivocal
  normal



  Report sent to GP                                             Radiologist initiates
                              Further results normal
                                                              further investigation as
                                                                    appropriate


  NB Any further UTI should prompt                           Further results abnormal
     prompt referral to OPD
                                                               Radiologist refers to
                                                                 OPD (as urgent)
                                                                Report sent to GP


  Notes:
  -      Unproven UTIs may be investigated but the evidence for UTI must be included
         with the request.
  -      This protocol is only for UTIs and must not be used in any other clinical situation.
  -      If you have queries or problems please contact Dr Kenney in X-ray on 01273
         328145 extn 2151

				
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Description: Direct referral for the investigation of First UTI in childhood