A Brief Review of the New AAP (American Academy of Pediatrics) Guideline on Febrile Urinary Tract Infection in 2- to 24-month infants.

In recent years, based on controversial issues regarding the diagnosis, treatment and follow up in patients with febrile urinary tract infection (UTI), various investigations have been performed and conventional methods have been modified. Hence, American Academy of Pediatrics (AAP 1999 and 2011) and National Institute for Health and Clinical Excellence (NICE 2007) designed guidelines to justify a method for diagnosis, treatment and follow- up of UTI. The current revised version (AAP 2011) has important changes in approaching febrile UTI in 2- to 24-month infants such as the necessity of performing urinalysis and urine culture, revised sampling methods, modified treatment methods (parenteral or oral therapy), radiological follow-up, and finally antibiotic administration. The aim of this study was to summarize the recent AAP guideline (2011) and present a simpler algorithm.