scholarly journals Diagnosis and Management of UTI in Febrile Infants Age 0–2 Months: Applicability of the AAP Guideline

2020 ◽  
pp. 176-180
Author(s):  
Pearl W Chang ◽  
Marie E Wang ◽  
Alan R Schroeder
Keyword(s):  
Clinical Practice ◽  
Urinary Tract ◽  
American Academy ◽  
Urinary Tract Infections ◽  
Clinical Practice Guideline ◽  
Age Group ◽  
Routine Testing ◽  
Young Infants ◽  
American Academy Of Pediatrics ◽  
Tract Infections

Urinary tract infections (UTIs) are the most common bacterial infection in young infants. The American Academy of Pediatrics’ (AAP) clinical practice guideline for UTIs focuses on febrile children age 2-24 months, with no guideline for infants <2 months of age, an age group commonly encountered by pediatric hospitalists. In this review, we assess the applicability of the AAP UTI Guideline’s action statements for previously healthy, febrile infants <2 months of age. We also discuss additional considerations in this age group, including concurrent bacteremia and routine testing for meningitis.

ERRATA

PEDIATRICS ◽  
1989 ◽  
Vol 84 (5) ◽  
pp. 761-761
Keyword(s):  
Urinary Tract ◽  
American Academy ◽  
Urinary Tract Infections ◽  
Task Force ◽  
Expert Advice ◽  
Us Army ◽  
American Academy Of Pediatrics ◽  
Tenfold Increase ◽  
Army Hospitals ◽  
Tract Infections

In the American Academy of Pediatrics' "Report of the Task Force on Circumcision" (Pediatrics. 1989;84:388-391), on page 389, "Urinary Tract Infections," the second sentence should read: "Beginning in 1985, studies conducted at US Army hospitals involving more than 200 000 infant boys [not men] showed a greater than tenfold increase in urinary tract infections in uncircumcised compared with circumcised male infants;. . . ." In addition, the Task Force wishes to acknowledge the following for their provision of expert advice: David T. Mininberg, MD, Urology Section Liaison, Jerome O Klein, MD, and Edward A Mortimer, Jr, MD.

scholarly journals Efficacy of Empiric Treatment of Urinary Tract Infections in Neonates and Young Infants

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985799
Author(s):  
James W. Antoon ◽  
Paige J. Reilly ◽  
Erin H. Munns ◽  
Alan Schwartz ◽  
Jacob A. Lohr
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Length Of Stay ◽  
Urinary Tract Infections ◽  
Age Group ◽  
Prolonged Length ◽  
Enterococcal Infection ◽  
Young Infants ◽  
Empiric Antibiotic ◽  
Tract Infections

Background. The antibiotic resistance patterns of young infants with urinary tract infections (UTIs) have evolved over the past 2 decades. Whether current empiric antibiotic regimens are sufficient in this age group is unknown. Methods. A retrospective review of patients aged 0 to 60 days admitted with a UTI discharge diagnosis. Results. Overall susceptibility to empiric antibiotics was 87%. Antibiotic resistance and length of stay were highest among those who were afebrile, those admitted to the intensive care unit, and those with culture diagnosis of enterococcal infection. The sensitivity and specificity of ultrasound as a screening tool for genitourinary anomaly was 70% and 40%, respectively, with a positive predictive value of 31.8%. Conclusions. Empiric antibiotic regimens cover a high percentage of UTIs in infants. However, high rates of resistance and prolonged length of stay in patients with enterococcal infection highlight the need for continued surveillance of such patients in this age group.

Circumcision

PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. 889-889
Author(s):  
EDGAR J. SCHOEN
Keyword(s):  
Urinary Tract ◽  
American Academy ◽  
Urinary Tract Infections ◽  
Task Force ◽  
New Born ◽  
Advantages And Disadvantages ◽  
American Academy Of Pediatrics ◽  
Tract Infections

In Reply.— Dr Wiswell essentially agrees with the content and documentation of the report of the Task Force on Circumcision. However, he believes that the benefits of newborn circumcision outweigh the risks, whereas our report simply pointed out the advantages and disadvantages of circumcision without taking a position for or against the procedure. The points in Wiswell's letter are well taken. His work on the increased risks of urinary tract infections (UTIs) in uncircumcised male infants had an important role in the decision of the American Academy of Pediatrics to convene our Task Force and review its position on new-born circumcision.

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