Aim To determine whether we are following NICE for the correct diagnosis of UTIs (1 st part) and whether we are requesting the outlined investigations (2nd part) to assess the function and structure of the urinary tract in children until the age of 3 years. Methods For the first part of the audit, we carried out a baseline assessment of the urine collection for the diagnosis. A questionnaire was given to medical staff in ED/AAU asking about the collection method, symptoms, risk factors, dipstick results and whether urgent microscopy was sent. 68 questionnaires were taken into consideration. For the second part, where we audited the compliance of our practice against the recommended imaging schedule, notes for patients admitted with a diagnosis of a UTI during the period of June-December 2017 were requested. A total of 34 patients were included, 4 of which were re-admitted. For both parts of the audit, children were divided into age groups: 0 to less than 3 months and, 3 months to 3 years old. Results NICE were followed in 25% of cases for UTI diagnosis (table 1). Presenting symptoms were: fever (78%), vomiting (16%) and irritability (6%). Non-compliance were due to: not sending urine for urgent microscopy or incorrect collection with a bag. Guidelines regarding the imaging schedule were only followed in 50% of cases (table 2). Typical infections represented 62%; 20% were atypical and 18% were recurrent. Reasons for uncompliance: requesting ultrasonography in first presentation of uncomplicated UTIs in 6 month olds and, further investigating non-typical UTIs. Conclusion Poor compliance with urine collection guidelines is primarily due to collection with urine bags. More concerning is the inappropriate reliance on urine dipsticks in patients