Useful Management Information

  • Children > 1 year of age who have had a single uncomplicated UTI, not requiring hospitalisation do not require specialist review
  • 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
  • Blood pressure levels for boys and girls by age and height percentile resource
  • Micturating cystourethrograms are uncommonly required and should not be done routinely with referrals to general paediatrics.

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • The following conditions could be referred to general paediatrics or paediatric surgery depending on the service and underlying condition:
    • Infants ≤ 6 months presenting with 1st UTI
    • Child with known renal tract abnormalities
    • Significant neonatal renal pelvic dilatation (>15mm or >10mm if bilateral)
Category 2 (appointment within 90 calendar days)
  • Recurrent UTI
  • Known renal tract abnormality transferring from another specialist
  • 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)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • Evaluate adequacy of urinary stream
  • 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)
  • Urinalysis (dipstick)

Desirable information - will assist at consultation

  • History of constipation, fluid intake, poor hygiene
  • 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 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
Last updated 25 October 2021

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

(07) 5687 4497

Post

Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney
Medical Director Paediatric Medicine (General Paediatrics)

Facilities

Gold Coast University Hospital

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.

Gold Coast Health - For Clinicians
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