Message from the Divisions of Pediatric Urology and Pediatric Nephrology at Vanderbilt Children’s Hospital

January 19, 2012

To the Pediatricians and members of the Cumberland Pediatric Foundation

Dear All,

As I am sure you know the AAP has recently published new guidelines for the management and treatment of urinary tract infections.  There have been a lot of questions concerning how to appropriately utilize these guidelines in the day-to-day practice of pediatrics.  To that end, the Divisions of Pediatric Urology and Pediatric Nephrology at Vanderbilt Children’s Hospital have met and reviewed the individual aspects of the guidelines in an effort to provide a consensus on how we think these guidelines should be interpreted for the individual children we care for.  Our recommendations are based on data from the literature, the AUA guidelines, the Swedish reflux study, the AAP guidelines and our collective experience.  I hope this compilation of information will be helpful to you in your practice.  Please let us know if we can be of any further assistance with these interpretations. 

AAP UTI Guidelines (Updated January 17, 2012)

Sincerely,

Division of Pediatric Urology

John W. Brock III, M.D., Director

Mark C. Adams, M.D.

John C. Pope IV, M.D.

John C. Thomas, M.D.

Stacy T. Tanaka, M.D.

Douglass B. Clayton, M.D.

Division of Pediatric Nephrology and Hypertension

Kathy Jabs, M.D., Director

Tracy Hunley, M.D.

Deborah Price Jones, M.S, M.D.