Consider pediatric consult
Consider other source
Suprapubic tenderness alone OR 2 or more risk factors:
Pyuria present on urine dip?
Consider other source
Well appearing?
Consider other source OR wait for culture with PMD in 24 hours
Discharge criteria
Urine bag already placed?
History of UTI?
Contraindications to probiotics?
Probiotics
Meets discharge criteria?
Cephalosporin allergy?
Female?
Cephalexin 25 mg/kg PO 4 times a day x7 days, PMD followup within 24 hours
Cephalosporin allergy?
Infectious disease consult
Consider historical cultures, consider urology or ID consult
Bactrim 6 mg(TMP)/kg PO BID x7 days, PMD followup within 24 hours
Clinical concern for UTI
Two-step urine collection process (if implemented in the care center)
4 minimal criteria for urine bag to be placed on patient arrival
# | Females | Males | |
1 | Temperature elevation (°C) | ≥38.5 | |
2 | Temperature duration (hours) | ≥48 | |
3 | Age(years) | <2 | Uncircumcised <2 |
Circumcised <1 | |||
4 | History of UTI symptoms concerning for UTI | Any |
Exclusion from urine bag
Presumed UTI on UA?
Suprapubic tenderness alone OR meets criteria based on risk factors
(2 risk factors for uncircumcised, 3 risk factors for circumcised)
Urine test Interpretation
Presumed UTI (UA Pyuria)
Definitive UTI (Urine culture)
Consider other source OR treat empirically for UTI