Society guideline links: Urinary tract infections in children

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Sepsis in neonates" and "Society guideline links: Vesicoureteral reflux".)

International

●International Children's Continence Society (ICCS): Standardization report on urodynamic studies of the lower urinary tract in children (2015)

●ICCS: Recommendations for initial diagnostic evaluation and follow-up in congenital neuropathic bladder and bowel dysfunction in children (2012)

●ICCS: Recommendations for therapeutic intervention in congenital neuropathic bladder and bowel dysfunction in children (2012)

Canada

●Canadian Paediatric Society (CPS): Position statement on prophylactic antibiotics for children with recurrent urinary tract infections (2015, reaffirmed 2021)

●CPS: Position statement on urinary tract infection in infants and children – Diagnosis and management (2014, reaffirmed 2020)

●Choosing Wisely Canada: Don't use a bag for collection of urine cultures to diagnose urinary tract infections (2020)

United States

●American College of Radiology (ACR): ACR Appropriateness Criteria on acute pyelonephritis (2022)

●Choosing Wisely: Do not perform a bagged urine specimen for urine culture to confirm urinary tract infection in a non-potty-trained child (2022)

●Choosing Wisely: Do not screen for urinary tract infection in asymptomatic patients who perform clean intermittent catheterization (2022)

●American Academy of Pediatrics (AAP): Red Book – Infection-prone body sites (2021)

●Choosing Wisely: Do not order urine cultures unless patients have symptoms consistent with urinary tract infection (UTI) (2020)

●Infectious Diseases Society of America (IDSA): Clinical practice guideline for the management of asymptomatic bacteriuria, update (2019)

●Choosing Wisely: Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection (UTI) in patients that show evidence of clinical resolution of infection (2018)

●Choosing Wisely: Don't prescribe antimicrobials to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection (2015, updated 2017)

●ACR: ACR Appropriateness Criteria on urinary tract infection – Child (2016)

●Choosing Wisely: Don't treat asymptomatic bacteruria with antibiotics (2015)

●Choosing Wisely: Don't perform voiding cystourethrogram (VCUG) routinely in first febrile urinary tract infection (UTI) in children aged 2-24 months (2013)

Europe

●European Association of Urology (EAU): Guidelines on paediatric urology, update (2021)

●EAU: Guidelines on urological infections, update (2021)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on urinary tract infection in under 16s – Diagnosis and management (2022)

●NICE: Quality standard on urinary tract infection in children and young people (2013, updated 2022)

●Public Health England (PHE): Guidance on urinary tract infections – Diagnostic tools for primary care (2007, updated 2020)

●NICE: Guideline on pyelonephritis (acute) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (catheter-associated) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (lower) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (recurrent) – Antimicrobial prescribing (2018)

Australia-New Zealand

●Choosing Wisely Australia: Do not give routine prophylactic antibiotics to a child after the first urinary tract infection if at low risk of recurrent urinary tract infections (2021)

●Kidney Health Australia (KHA)-Caring for Australasians with Renal Impairment (CARI): Guideline for diagnosis and treatment of urinary tract infection in children (2015)

●Australasian Society for Infectious Disease (ASID)/Australian Infection Control Association (AICA): Position statement for preventing catheter-associated urinary tract infections in patients (2011)