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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Lee T, Triner D, Basu T, Park JM, Wan J. Association of Urinary Tract Infection Guidelines With Vesicoureteral Reflux Screening. JAMA Pediatr. 2019;173(11):1102–1103. doi:https://doi.org/10.1001/jamapediatrics.2019.3168
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