Challenges in childhood urinary tract infection/vesicoureteral reflux investigation and management: Calming the storm

摘要

The present report was initiated in 2010 by a panel of experts in pediatrics, nephrology, and urology at a round table meeting to review the management of vesicoureteral reflux (VUR) in children, Shortly thereafter, the American Urological Association published an update on VUR in 2010, and the American Academy of Pediatrics (AAP) released a new guideline in 2011, necessitating a reconsideration of our practice patterns. Although these updates would appear to clarify some of the issues surrounding the treatment of VUR in children, there is still ample confusion regarding who, when, and how to image febrile urinary tract infection (fUTI) and treat reflux in children. For purposes of our report, UTI refers to pediatric UTI.