The past decade has seen a remarkable retreat from previous dogma regarding urinary tract infections (UTIs).
Less aggressive imaging is now recommended because although vesicoureteral reflux (VUR) is frequently found in children with a history of febrile UTIs, most VUR resolves spontaneously and we do not have evidence that treatment of the rest improves outcome. Available evidence suggests urine testing for UTI can be less aggressive as well, focusing on those with the most risk factors for UTI, those with the most severe illness, and those at highest risk of complications.
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Newman TB. Are you the author?
Reference: Pediatr Clin North Am. 2012 Aug;59(4):923-6.
doi: 10.1016/j.pcl.2012.05.016
PubMed Abstract
PMID: 22857838
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