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Congenital anomalies of the kidney and urinary tract

PAEDIATRIC

Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Outpatient follow up of major congenital structural malformations diagnosed antenatally associated with impairment of kidney function
  • Category 2
    (appointment within 90 calendar days)
    • Outpatient follow up of congenital structural malformations associated with;
      • recurrent proven UTIs, or
      • atypical organisms on proven UTI
  • Category 3
    (appointment within 365 calendar days)
    • No Category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention not otherwise accessible to the patient
  • For advice regarding management
  • To engage in an ongoing shared care approach between primary and secondary care
  • Reassurance for GP/second opinion
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)

2. Essential referral information Referral will be returned without this

  • Duration of symptoms
  • History of recent infection
  • Any collaboration with paediatric surgery, paediatric urology or fetal medicine unit
  • Ultrasound (kidney, ureters & bladder)
  • Pre and post-natal investigations

3. Additional referral information Useful for processing the referral

  • Family history of any renal tract abnormalities (eg VUR in a sibling)
  • Organisms identified on M/C/S causing UTIs
  • Details of antibiotics prescribed for UTIs
  • Use of prophylactic antibiotics

4. Request

Last updated: 13 June 2023