Urinary tract infections (UTI) (General Paediatrics)Paediatric
Useful Management Information
- Children > 1 year of age who have had a single uncomplicated UTI, not requiring hospitalisation do not require specialist review
- Blood pressure levels for boys and girls by age and height percentile
- Micturating cystourethrograms are rarely required and should not be done with referrals to general paediatrics
- Clinical urgency is the dominant consideration in the prioritisation of a referral for a child currently in out of home care (OOHC), or at risk of entering or leaving OOHC
Clinician resources
- If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services
- Statement of intent – the prioritisation of health services for children and young people in the child protection system
Minimum Referral Criteria
Category 1 (appointment within 30 calendar days) |
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Category 2 (appointment within 90 calendar days) |
Infants and children with history of acute pyelonephritis/upper urinary tract infection after acute hospital care who do not have significant structural anomalies. |
Category 3 (appointment within 365 calendar days) |
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If your patient does not meet the minimum referral criteria
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Essential Referral Information
- Evaluate adequacy of urinary stream
- Confirmation of out of home care (OOHC) (where appropirate)
- Results of MSU MCS (clean catch)
- Results of renal tract USS
Additional Referral Information
Highly desirable information – may change triage category
- Frequency of urinary tract infections and age of first onset
- A reliable urine specimen is vital to confirm the diagnosis – urine bags must not be used (high false positive rate)
Desirable information - will assist at consultation
- History of constipation, fluid intake, poor hygiene, recent threadworm treatment
- Blood pressure readings
- Other past medical history
- Immunisation history
- Developmental history
- Medication history
- Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, Department of Child Safety, Seniors and Disability Services involvement)
- Height/weight/head circumference and growth charts with prior measurements if available
- Other physical examination findings inclusive of CNS, birth marks or dysmorphology
- Any relevant laboratory results or medical imaging reports
Send Referrals To
Smart Referrals
Preferred Method
About Smart Referrals
Secure Web Transfer
Send to: Gold Coast Health Service District
Internal Referrals
Paediatric Medicine (E-Blueslips)
Fax
Post
Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215
Enquiries
Service Availability
Facilities
If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.
Child Safety
If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.