A Brief Review of the New AAP (American Academy of Pediatrics) Guideline on Febrile Urinary Tract Infection in 2- to 24-month infants.
Journal of Pediatric Nephrology,
Vol. 1 No. 2 (2013),
,
Page 52-55
https://doi.org/10.22037/jpn.v1i2.4865
Abstract
In recent years, based on controversial issues regarding the diagnosis, treatment and follow up in patients with febrile urinary tract infection (UTI), various investigations have been performed and conventional methods have been modified. Hence, American Academy of Pediatrics (AAP 1999 and 2011) and National Institute for Health and Clinical Excellence (NICE 2007) designed guidelines to justify a method for diagnosis, treatment and follow- up of UTI. The current revised version (AAP 2011) has important changes in approaching febrile UTI in 2- to 24-month infants such as the necessity of performing urinalysis and urine culture, revised sampling methods, modified treatment methods (parenteral or oral therapy), radiological follow-up, and finally antibiotic administration. The aim of this study was to summarize the recent AAP guideline (2011) and present a simpler algorithm.
Keywords: Urinary Tract Infections; Infants; Child; Vesico-Ureteral Reflux
How to Cite
References
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, Roberts KB. 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. 2011 Sep; 128(3):595-610.
Newman TB. The new American Academy of Pediatrics urinary tract infection guideline. Pediatrics. 2011 Sep;128(3):572-5.
American Academy of Pediatrics, Committee on Quality Improvement, Subcommittee on Urinary Tract Infection. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999;103(4):843–852
National Institute for Health and Clinical Excellence. Urinary Tract Infection in Children: Diagnosis, Treatment, and Long-term Management: NICE Clinical Guideline 54. London, England: National Institute for Health and Clinical Excellence; 2007.
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