Pediatric Patients

Empiric therapy should be initiated for a suspected UTI and positive urinalysis in those that present with:

• Fever (especially greater than 39°C or temperature that has been elevated for more than 48 hours)

• Ill appearance

• Costovertebral angle tenderness

• Known immune deficiency

• Known urologic abnormality

Usual indications for hospitalization and/or parenteral therapy include:

• Age <2 months

• Sepsis (e.g. toxic appearance, hypotension, poor capillary refill)

• Immunocompromised patient

• Vomiting or inability to tolerate oral medication

• Lack of adequate outpatient follow-up (eg, no telephone, live far from hospital)

• Failure to respond to outpatient therapy

• Genitourinary abnormalities