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Urinary Tract Infections in Children

Eric Balighian and Michael Burke, Pediatrics in Review Jan 2018, 39 (1) 3-12; DOI: 10.1542/pir.2017-0007

Educational Gaps

Consideration of risk factors for urinary tract infections (UTIs) in young children with fever is critical for accurate diagnosis, as well as prevention of overtesting. The use of perineal bags to collect urine from young children should be limited to specific indications in the diagnosis of UTIs. Screening for and managing bowel and bladder dysfunction reduces the risk of UTIs in older children.


After completing this article, readers should be able to:

  1. Recognize the risk factors for urinary tract infections (UTIs) in children.
  2. Review the interpretation of urinalysis and urine cultures.
  3. Review antibiotic therapy choices for UTIs.
  4. Describe which children need imaging after febrile UTIs.
  5. Discuss prevention strategies to discuss with families.


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