American Academy of Pediatrics – Section on Nephrology and the American Society of Pediatric Nephrology

View all recommendations from this society

July 16, 2018

Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection (UTI) in patients that show evidence of clinical resolution of infection.

Studies have shown that clinical resolution of infection is adequate for determining effectiveness of antibiotic therapy after treatment for a UTI.


These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.

How The List Was Created

The American Academy of Pediatric Section on Nephrology Executive Committee (AAP SONp) and the American Society of Pediatric Nephrology Clinical Affairs Committee (ASPN CAC) utilized a four-stage process to develop its list. First, the two groups independently developed lists based on various common assessments, evaluations, and treatments in the practice of pediatric nephrology. During the second stage, the committee chairs consolidated the lists and then re-convened the individual committees to narrow the topics on the list. During the third stage, a final list of five practices was developed and consensus achieved by both committees that were found to be supported by evidence. The final stage occurred when the list was reviewed and approved by the AAP’s Executive Committee and the ASPN CAC.

Sources

American Academy of Pediatrics, Committee on Quality Improvement, Subcommitee on Urinary Tract Infection. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics 103: 843-852, 1999.

Bachir R: Nonresponders: prolonged fever among infants with urinary tract infections. Pediatrics 105:E59, 2000.

Currie ML, Mitz L, Raasch CS, Greenbaum LA. Follow-up urine cultures and fever in children with urinary tract infection. Arch Pediatr Adolesc Med 157:1237-1240, 2003.

Oreskovic, NM  Sembrano, Eduardo U. Repeat Urine Cultures in Children Who Are Admitted With Urinary Tract Infections. Pediatrics 119, Number 2, e325-329,  2007.