What do the latest guidelines tell us about UTIs in children under 2 years of age.

The American Academy of Pediatrics (AAP) recently published new guidelines on diagnosing and managing infants and children younger than 2 years who have had a febrile urinary tract infection (UTI). They recommend, as previously did the National Institute for Health and Clinical Excellence (NICE) in the UK, a marked reduction in the imaging that these children should undergo. Both NICE and AAP agree that prophylactic antibiotic treatment should not be routinely used in these children, even in those with major vesicoureteric reflux.