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Research Letter
September 30, 2019

Association of Urinary Tract Infection Guidelines With Vesicoureteral Reflux Screening

Author Affiliations
  • 1Department of Urology, Michigan Medicine, Ann Arbor
  • 2Institute for Healthcare Policy and Innovation, Michigan Medicine, Ann Arbor
JAMA Pediatr. 2019;173(11):1102-1103. doi:10.1001/jamapediatrics.2019.3168

In 2011, the American Academy of Pediatrics (AAP) issued guidelines recommending against using routine voiding cystourethrograms in children aged 2 to 24 months who present with febrile urinary tract infection and instead recommending obtaining a renal ultrasonographic image and reserving voiding cystourethrographic testing for specific circumstances.1 We sought to examine the outcomes associated with these guidelines on (1) diagnosis patterns among children with underlying vesicoureteral reflux and (2) detection rates of vesicoureteral reflux per screening voiding cystourethrogram performed for all children. We hypothesized an improvement in the detection rates of vesicoureteral reflux at the expense of delayed diagnoses among children with vesicoureteral reflux.

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