This commentary provides a summarized response regarding the newly published American Academy of Pediatrics Guidelines on urinary tract infection (UTI) diagnosis and evaluation from the Section on Urology of the American Academy of Pediatrics. Although the section supports some aspects of the guidelines, the new recommendation not to perform a voiding cystourethrogram (VCUG) after a first febrile UTI is not supported. The section expresses significant concern that the recommendation is based on a flawed interpretation of limited data and that this stands to potentially harm significant numbers of children because of delayed diagnosis of harmful urinary tract conditions.

The Section of Urology of the American Academy of Pediatrics enthusiastically supports many aspects of the new Guideline on UTI evaluation and management. Specifically, when faced with a febrile sick child (aged 2 months to 2 years), UTI should be considered a significant cause and a urine culture be obtained by urethral...

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