A revised AAP clinical practice guideline on the diagnosis and management of the initial urinary tract infection (UTI) in febrile infants and young children is markedly different from the previous practice parameter published in 1999.

Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months, was released electronically in late August and is published in the September issue of Pediatrics (2011;128:595-610; http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2011-1330). A technical report accompanies the guideline (


New data have become available in the past five years, with the findings prompting a reexamination of the older studies. There also is a more transparent process for reporting the strength of recommendations, based on explicit assessments of benefits, harms/risks/ costs, value judgments, role of patient preferences, exclusion and intentional vagueness where it appears.

Recommendations now are...

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