Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Paediatric urology

Rapid uptake of guidelines for imaging after first febrile UTI

Subjects

The American Academy of Paediatrics has revised its guidelines on the management of first UTI in children. The translation of evidence-based guidelines into clinical practice is often slow and inconsistent, but a recently published implementation study has demonstrated that rapid adoption of evidence-based UTI recommendations is achievable and beneficial.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Subcommittee on Urinary Tract Infection; Steering Committee on Quality Improvement and Management. Urinary tract infection: Clinical Practice Guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Paediatrics 128, 595–610 (2011).

  2. Committee on Quality Improvement, Subcommittee on Urinary Tract Infection in Febrile Infants and Young Children. Practice Parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Paediatrics 103, 843–852 (1999).

  3. Montini, G., Tullus, K. & Hewitt, I. Febrile urinary tract infections in children. N. Engl. J. Med. 365, 239–250 (2011).

    Article  CAS  PubMed Central  Google Scholar 

  4. Jerardi, K. E., Elkeeb, D., Weiser, J. & Brinkman, W. B. Rapid implementation of evidence-based guidelines for imaging after first urinary tract infection. Paediatrics 132, e749–e755 (2013).

    Article  Google Scholar 

  5. Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J. & Squires, J. E. Knowledge translation of research findings. Implement. Sci. 31, 50 (2012).

    Article  Google Scholar 

  6. Morris, Z. S., Wooding, S. & Grant, J. The answer is 17 years, what is the question: understanding time lags in translational research. J. R. Soc. Med. 104, 510–520 (2011).

    Article  PubMed Central  Google Scholar 

  7. National Institute for Health and Clinical Excellence. Clinical guideline 54: Urinary tract infection in children: diagnosis, treatment and long term management [online], (2007).

  8. Ammenti, A. et al. Febrile urinary tract infections in young children. Recommendations for the diagnosis, treatment and follow-up. Acta Paediatr. 101, 451–457 (2012).

    Article  PubMed Central  Google Scholar 

  9. Hewitt, I. K. & Montini, G. Reduced imaging after urinary tract infection: are benefits accompanied by adverse risks? Arch. Paediatr. Adolesc. Med. 165, 1047–1048 (2011).

    Article  Google Scholar 

  10. Schroeder, A. R. et al. Impact of a more restrictive approach to urinary tract imaging after febrile urinary tract infection. Arch. Paediatr. Adolesc. Med. 165, 1027–1032 (2011).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giovanni Montini.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hewitt, I., Montini, G. Rapid uptake of guidelines for imaging after first febrile UTI. Nat Rev Urol 10, 622–624 (2013). https://doi.org/10.1038/nrurol.2013.234

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrurol.2013.234

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing