Neonatal Managed Clinical Network Scotland clinical guidelines

This guideline is applicable to all medical, nursing and midwifery staff working with neonates in Scotland.

It is intended to provide the following guidance:

1. To outline which initial investigations are appropriate for congenital anomalies of the kidney and urinary tract that have been identified, or are suspected antenatally
2. To identify when onward referral to the nephrology/ urology/ genetics teams is appropriate
3. To provide a time frame over which the above should occur
4. To identify infants requiring antibiotic prophylaxis whilst awaiting investigation

It is possible that infants with severe congenital renal anomalies have already been discussed antenatally within a multidisciplinary forum; such infants may already have plans for management in place that should be adhered to. Where infants are referred for imaging or radionuclide studies but do not yet require referral to specialist services, arrangements for follow up should be made as per local protocol.