In children with suspicion of a urinary tract infection (UTI), what should always be done?

In children suspected of having a urinary tract infection (UTI), it is essential to always investigate the situation properly. This investigation typically involves taking a urine sample for culture and sensitivity testing, which helps confirm the presence of infection and identify the specific bacteria causing it. This step is crucial because it guides appropriate antibiotic therapy, ensuring that the child receives the correct treatment for their specific infection.

Investigating also allows for the assessment of other factors, such as the child’s symptoms, history of urinary issues, and any potential anatomical abnormalities that might predispose the child to recurrent UTIs. By thoroughly investigating, healthcare providers can make informed decisions, provide effective treatment, and prevent complications arising from inadequate or inappropriate management.

The other choices do not encompass the comprehensive approach needed for managing a suspected UTI. Immediate antibiotic treatment without confirmed diagnosis could lead to inappropriate use of antibiotics and resistance, performing bladder scans may not provide diagnostic clarity on its own, and conducting a physical examination alone is insufficient without further investigation to confirm the diagnosis of UTI.