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Supportive Care Measures

  1. Encourage non-caffeinated and non-carbonated fluids.
  2. For girls, encourage wiping after each void from front to back.
  3. Decrease discomfort with voiding by urinating while sitting in a warm bath tub.
  4. Provide Tylenol (12.5 mg/kg) by mouth every 4 hours or Ibuprofen (10 mg/kg) by mouth every 6 hours as needed for fever or pain. Avoid ibuprofen products if there is a concern for acute kidney injury.
  5. For >12 years old, Pyridium (95mg/tablet) 2 tablets TID prn x 2 days only. Avoid Pyridium in patients with renal insufficiency or with known G6PD deficiency. Caution families that this medication can stain fabrics and discolor urine.
  6. Avoid bubble baths.
  7. Avoid constipation.
  8. Return for fever >39C (102.2F), vomiting, unable to keep fluids down, bloody urine, worsening pain or pain that is migrating to the upper back.

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.

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