Adherence To AAP Practice Guidelines For Urinary Tract Infections At Our Teaching Institution

Main Category: Urology / Nephrology
Also Included In: Infectious Diseases / Bacteria / Viruses
Article Date: 10 Jan 2009 - 0:00 PST

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UroToday.com - A study by Dr. Lopa Shah et al. evaluated the adherence to the American Academy of Pediatrics (AAP) practice guidelines for urinary tract infections (UTI). The AAP developed guidelines to better direct clinicians in the workup. This retrospective study evaluated the uniformity of adherence to these guidelines. A total of 104 charts were reviewed, and data were collected based on the parameters outlined by the AAP. At the authors' teaching institution, they found that there is at least 70% adherence to the recommendations for the method of urine collection and 97% adherence for the performance of urinalysis. However, imaging workups of first-time UTIs had only a 61% adherence rate.

In my opinion, it would be important to get imaging on a first-time febrile UTI. This is important before the potty training age. Typically after potty training, if there is an element of constipation or dysfunctional voiding, we would obtain voiding diaries and possibly an abdominal x-ray prior to any invasive testing.

Shah L, Mandlik N, Kumar P, Andaya S, Patamasucon P
Clin Pediatr (Phila). 2008 Nov;47(9):861-4.
doi:10.1177/0009922808319962

Written by UroToday.com Medical Editor Pasquale Casale, MD

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