WEDNESDAY, Aug. 31 (HealthDay News) -- The American Academy of Pediatrics (AAP) has released a technical report, "Diagnosis and Management of an Initial UTI in Febrile Infants and Young Children," detailing changes that include updated recommendations for imaging. The report was published online Aug. 28 in Pediatrics.
Kenneth B. Roberts, M.D., from the AAP's Subcommittee on Urinary Tract Infection, and colleagues, along with the Steering Committee on Quality Improvement and Management, revised the AAP's practice guidelines regarding diagnosis and management of initial UTIs in febrile infants and young children (age 2 to 24 months) after a comprehensive review of published literature. Meta-analyses on the effectiveness of antimicrobial prophylaxis for prevention of recurrent UTI were also performed.
Among the findings: New urinalysis methods and certain clinical findings can help clinicians identify febrile children who are at very low risk of UTI, and oral antimicrobial therapy is as effective as parenteral therapy in treatment of UTI. A voiding cystourethrography is not recommended after the first UTI, as recent data do not support the use of antimicrobial prophylaxis for prevention of recurrent febrile UTI in patients without vesicoureteral reflux (VUR) or with grade I to IV VUR.
"Changes in this revision include criteria for the diagnosis of UTI and recommendations for imaging," the authors write.
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