What are the AAP recommendations for treatment of infants and young children with a urinary tract infection (UTI)?

Updated: Mar 19, 2019
  • Author: Donna J Fisher, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Appropriate treatment, imaging to identify correctable anatomic abnormalities, and follow-up can help prevent long-term sequelae in patients with more severe cases or chronic, recurrent infections. [3] All patients should have close follow-up to evaluate response to antibiotics. Repeat urinalysis and/or urine cultures are not needed if the patient's condition responds to therapy as expected.

The American Academy of Pediatrics (AAP) recommends that all infants and young children (aged 2 mo to 2 y) with a first UTI undergo urinary tract ultrasonography; depending on the result, this may be followed by voiding cystourethrography (VCUG). [3] These studies should be performed promptly if patients fail to show expected clinical response within 2 days of treatment.

VCUG may detect vesicoureteric reflux (VUR). Low-grade VUR (grade 1-2) usually resolves without permanent damage, but high-grade (grade 4-5) VUR may require surgical correction.

Go to the following Medscape Reference articles for further information on these topics:


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