Adherence to AAP practice guidelines for urinary tract infections at our teaching institution.
Urinary tract infection (UTI) in children is a common diagnosis in general pediatric practice. Because of the potential severity and proven morbidity of such infections, the American Academy of Pediatrics (AAP) developed guidelines to better direct clinicians in the workup. This retrospective study sought to evaluate the uniformity of adherence to these guidelines at our teaching institution. A total of 104 charts were reviewed, and data were collected based on the parameters outlined by the AAP. It is found that at the authors' teaching institution, there is at least 70% adherence to the recommendations for method of urine collection and 97% adherence to performance of urinalysis. However, imaging workup, which may be the most important follow-up of a first-time UTI, has only a 61% adherence rate.
Department of Pediatrics, University of Nevada School of Medicine, Nevada, USA.
Lopa
L
Shah
Nandini
N
Mandlik
Payal
P
Kumar
Serjun
S
Andaya
Pisespong
P
Patamasucon
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging / Q000592:standards*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D016482:Urinalysis / Q000592:standards*; D014552:Urinary Tract Infections / Q000188:drug therapy*
D000900:Anti-Bacterial Agents