Haematuria can be either macroscopic or microscopic. Haematuria, often in conjunction with proteinuria, is a common incidental finding as part of non-specific febrile illnesses along, and is not necessarily pathological.
For the diagnosis and management of haematuria, both acute and chronic, please refer to the Royal Children’s Hospital clinical practice guidelines.
- Haematuria is often seen in non-specific febrile illnesses and does not necessarily represent a major concern.
- Excluding UTI and ensuring the child is not acutely unwell remain important steps.
- For the presentation of haematuria as part of nephritic or nephrotic syndrome, please see the proteinuria pre-referral guideline.
For the diagnosis and management of haematuria, both acute and chronic, please refer to the Royal Children’s Hospital clinical practice guidelines.
- Paediatrician
- Referral to paediatric outpatient services is not appropriate in the management of unwell children with haematuria, or new onset or acute nephritic/nephrotic syndrome.
- Most cases of transient microscopic haematuria in otherwise well children can be adequately managed in the general practice setting.
- Referral to paediatric outpatient services should be undertaken for macroscopic haematuria or persistent microscopic haematuria.
- Nephrologist
- Referral for nephrology opinion can be considered after review by paediatric services.