#471 - [Journal Club] - 📌 A Review of the New AAP UTI Guidelines for Neonates

Send us Fan Mail

How long should you treat a UTI in an 8-day-old, and when do you really need a VCUG? On this Journal Club, Daphna breaks down the brand-new AAP clinical practice guideline for urinary tract infection in children from 8 days to 5 years, the first update since 2011 and the first to include infants under two months. She walks through the key action statements: a lower culture threshold of 10,000 CFU with evidence of inflammation, age-specific urinalysis criteria, shorter antibiotic courses for low-risk children, early transition to oral antibiotics even in the neonatal period, renal and bladder ultrasound before VCUG, and narrower use of continuous antibiotic prophylaxis. Ben highlights the printable flow sheets every NICU should post.

----

Clinical Practice Guideline for the Diagnosis and Treatment of Urinary Tract Infection in Children From 8 Days to 5 Years of Age. Alverson BK, Hains DS, Downs SM, El Feghaly RE, Forster CS, Jain S, Johnston A, Mattoo TK, Nelson CP, Olakanpo O, Otero HJ, Peters CA, Poppinga NM, Saha D, Schroeder AR, Senerth E, Pilcher L, Flinn SK, Morgan RL, Mustafa RA.Pediatrics. 2026 Oct 1;158(4):e2026078565. doi: 10.1542/peds.2026-078565.PMID: 42803578

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!