Question

A 3-year-old girl has had two febrile urinary tract infections in 6 months. Ultrasound shows mild renal pelvic dilatation. According to NICE guidance, what is the most appropriate next step?

Accepted Answer

Refer to paediatric nephrology or urology for further assessment

Answer

No further follow-up is required

Answer

Start lifelong antibiotic prophylaxis without specialist input

Answer

Arrange annual CT scans

Answer

Perform immediate voiding cystourethrogram in all cases

Practice question

A 3-year-old girl has had two febrile urinary tract infections in 6 months. Ultrasound shows mild renal pelvic dilatation. According to NICE guidance, what is the most appropriate next step?