Child Health  |  UTI Pathway - Assess the Symptons and Signs




Child Health

UTI Pathway - Assess the Symptons and Signs

Age Group

Symptoms & Signs

Most common                      Least common

Infants younger than 3 months

Fever Vomiting
Lethargy
Irritability

Poor feeding
Failure to thrive

Abdominal pain
Jaundice
Haematuria
Offensive urine

Infants and children       
3 months or older

Preverbal    

Fever

Abdominal pain
Loin tenderness
Vomiting
Poor feeding

Lethargy
Irritability
Haematuria
Offensive urine
Failure to thirve

Verbal

Frequency
Dysuria

Dysfunctional voiding
Changes to continence
Abdominal pain
Loin tenderness

Fever
Malaise
Vomiting
Haematuria
Offensive urine
Cloudy urine

 

Symptoms are very non-specific in young children, while older children may describe more classic dysuria and frequency.  Consider checking urine in any febrile child < 2 years if there is not a clear focus for the fever.

  • Any child < 3 months with fever > 38° Refer acutely for septic screen (see Red Flags)
  • Children, who are septic or unwell, refer acutely for assessment and management.


Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.