skip to main content

Urinary tract infection in infant — MRCPCH FOP MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRenalUrinary tract infection in infantMRCPCH FOP

A 7-week-old girl has fever 38.5°C with no focus. Urine obtained by catheter has positive nitrites and leucocytes; she is feeding less than usual. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Refer urgently for paediatric assessment and parenteral antibiotics

A febrile infant under 3 months with suspected UTI needs urgent paediatric assessment and parenteral antibiotics. Waiting for culture confirmation is unsafe in this age group. Topical treatment does not address a urinary infection. The pearl is that age under 3 months changes the threshold for referral.

Reference: NICE NG224 Urinary tract infection in under 16s