Paediatric Urine Microscopy Interpretation and Action
|
Microscopy results
|
Interpretation
|
|
Pyuria and bacteriuria are both positive
|
Assume the baby or child has a urinary tract infection (UTI), ensure treatment with appropriate antibiotics
|
|
Pyuria is positive and bacteriuria is negative
|
Start antibiotic treatment if the baby or child has a symptoms or signs of a UTI
|
|
Pyuria is negative and bacteriuria is positive
|
Assume the baby or child has a UTI, ensure treatment with appropriate antibiotics
|
|
Pyuria and bacteriuria are both negative
|
Assume the baby or child does not have a UTI
|
IF UNDER 6 MONTHS OF AGE OR A NON E COLI BACTERIURIA ASK THE GP TO ARRANGE AN ULTRASOUND SCAN OF THE URINARY TRACT.
Pyuria: White cells on microscopy >50
Bacteriuria: Pure growth of a bacteria >105
If mixed growth or <105 presume bacteriuria is negative
Avoid prescribing nitrofurantoin liquid formulation as it is £250 per bottle!
