The management of infants and children with a febrile UTI is controversial. In the past, children have undergone extensive diagnostic imaging, but recent studies suggest these procedures are unnecessary. The new US guidelines recommend reduced use of radiological investigations and also suggest that prophylactic antibiotics are, at best, of limited benefit.
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Tullus, K. AAP recommends reduced imaging after first febrile UTI. Nat Rev Urol 9, 11–12 (2012). https://doi.org/10.1038/nrurol.2011.174
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DOI: https://doi.org/10.1038/nrurol.2011.174