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AAP recommends reduced imaging after first febrile UTI

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The management of infants and children with a febrile UTI is controversial. In the past, children have undergone extensive diagnostic imaging, but recent studies suggest these procedures are unnecessary. The new US guidelines recommend reduced use of radiological investigations and also suggest that prophylactic antibiotics are, at best, of limited benefit.

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References

  1. Marks, S. D., Gordon, I. & Tullus, K. Imaging in childhood urinary tract infections: time to reduce investigations. Pediatr. Nephrol. 23, 9–17 (2008).

    Article  Google Scholar 

  2. The Subcommitee on Urinary tract Infection, Steering Committee on Quality Improvement and Management. Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics 128, 595–610 (2011).

  3. Mori, R., Lakhanpaul, M. & Verrier-Jones, K. Diagnosis and management of urinary tract infection in children: summary of NICE guidance. BMJ 335, 395–397 (2007).

    Article  Google Scholar 

  4. Hoberman, A. et al. Imaging studies after a first febrile urinary tract infection in young children. N. Engl. J. Med. 348, 195–202 (2003).

    Article  Google Scholar 

  5. Brandstrom, P. et al. The Swedish reflux trial in children: IV. Renal damage. J. Urol. 184, 292–297 (2010).

    Article  Google Scholar 

  6. Craig, J. C. et al. Antibiotic prophylaxis and recurrent urinary tract infection in children. N. Engl. J. Med. 361, 1748–1759 (2009).

    Article  CAS  Google Scholar 

  7. Garin, E. H. et al. Clinical significance of primary vesicoureteral reflux and urinary antibiotic prophylaxis after acute pyelonephritis: a multicenter, randomized, controlled study. Pediatrics 117, 626–632 (2006).

    Article  Google Scholar 

  8. Montini, G. et al. Prophylaxis after first febrile urinary tract infection in children? A multicenter, randomized, controlled, noninferiority trial. Pediatrics 122, 1064–1071 (2008).

    Article  Google Scholar 

  9. Pennesi, M. et al. Is antibiotic prophylaxis in children with vesicoureteral reflux effective in preventing pyelonephritis and renal scars? A randomized, controlled trial. Pediatrics 121, e1489–e1494 (2008).

    Article  Google Scholar 

  10. Roussey-Kesler, G. et al. Antibiotic prophylaxis for the prevention of recurrent urinary tract infection in children with low grade vesicoureteral reflux: results from a prospective randomized study. J. Urol. 179, 674–679 (2008).

    Article  CAS  Google Scholar 

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  1. Renal Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK

    Kjell Tullus

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  1. Kjell Tullus
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Tullus, K. AAP recommends reduced imaging after first febrile UTI. Nat Rev Urol 9, 11–12 (2012). https://doi.org/10.1038/nrurol.2011.174

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