UTI result management in the Emergency Department

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Objectives

Guidance and algorithms for the evaluation and management of urine culture results from microbiology. 

Scope

Children with a urine culture report returning to the ED and CDU at RHC. 

Audience

Clinicians working in the paediatric ED at RHC.

Dealing with urine culture results: Medical Staff

Large numbers of urine samples are sent for culture from our Medical Assessment unit and Emergency Department. Batches of yellow result forms return daily to the doctors’ room in the department and are evaluated and processed by medical staff each morning. As the implications of missing treatment and follow up in a child with a UTI can be serious we now operate a back up check by the ED secretaries. Algorithms of both these processes are illustrated below

OF SPECIAL NOTE:

  • DO NOT MAKE A NEW UTI CLINIC REFERRAL TILL A POSITIVE CULTURE IS OBTAINED.
  • ALL UTI REFERRALS MUST BE PROCESSED THROUGH THE ED SECRETARIES.
  • PROPHYLACTIC ANTIBIOTICS ONLY FOR CHILDREN UNDER 1 YEAR.
  • GENERALLY NO FOLLOW UP FOR CHILDREN OVER THREE UNLESS EVIDENCE PYLONEPHRITIS/ RECURRANCE OR BLADDER DYSFUNCTION

Please use above in conjunction with Referral to UTI Service RHSC document

Dealing with urine culture results: ED Secretary

Editorial Information

Last reviewed: 01 February 2015

Next review: 01 December 2015

Author(s): Vincent Choudhery

Approved By: Clincal Effectiveness