When should I consider referring a patient with HUS to a specialist for further management?

Consider referring a patient with haemolytic uraemic syndrome (HUS) to a specialist immediately for further management, especially in children with Shiga toxin-producing Escherichia coli (STEC) infection. Specialist advice should be sought on monitoring and managing HUS due to its potential severity and complications.

In practice, this means that any child suspected of having STEC infection should have specialist input to monitor for HUS development and manage accordingly.