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Table 2 Health questions

From: Egyptian pediatric clinical practice guidelines for urinary tract infections in infants and children (evidence based)

Health questions used to develop this adapted CPGL
These questions concern children 1 month to 16 years with UTI, attending the primary health care service units treated by general pediatricians or general physicians and those managed in specialized Pediatric Nephrology units. They aim to identify those with risk factors, recurrent or complicated presentations, improve child’s symptoms, prevent complications, and shorten the duration of hospital admission.
1 What are the risk factors of UTI that should be searched for?
2 When the suspicion of UTI would be aroused?
3 When to ask for urine analysis? What tests to ask for?
4 When would the physicians ask for a urine culture? What is the best technique to get the urine sample for culture?
5 When to start empirical antibiotics and which to be used? Oral or parenteral? Duration?
6 What is the duration of antibiotic therapy proved by culture?
7 When the suspicion of resistance to the therapy would be aroused?
8 When to recommend prophylactic antibiotic?
9 When further blood investigations would be requested, such as kidney function, acute phase reactants and complete blood count?
10 When would the general practitioner refer patients to specialized PN care services and pediatric nephrology units?
11 When to refer to the urologist?
12 When would the physicians request abdominal ultrasound? When and what further imaging might be needed?
13 Follow-up recommendations and suggested documentation.