Which specialist consultations may be indicated in the treatment of pediatric urinary tract infection (UTI)?

Updated: Mar 19, 2019
  • Author: Donna J Fisher, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Consultation with a urologist is not typically required at presentation in pediatric patients with an initial febrile UTI, unless obstruction of the urinary tract is evident. However, patients with VUR of grade 4 or worse should be referred to a pediatric nephrologist or urologist. Consultation with an infectious disease specialist may be useful if there is reason to suspect infection with an unusual organism or one that is antibiotic resistant.


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