title: Pediatrician noncompliance with the American Academy of Pediatrics guidelines for the workup of UTI in infants.
abstract: BACKGROUND
  The American Academy of Pediatrics (AAP) guidelines on the workup for urinary tract infections (UTIs) in infants discourages the use of bagged urine specimens for urine culture. We report the results of a survey to assess urine collection preferences and adherence to AAP guidelines in clinical practice.
  
  
  METHODS
  A 29-question survey was e-mailed to pediatrician AAP members to determine their preferred method of urine collection in hypothetical infant patients.
  
  
  RESULTS
  Data from 155 respondents were analyzed. In febrile, circumcised boys, up to 18% preferred bagged specimens for urine culture, against AAP recommendations. In febrile girls, 13% of respondents preferred bagged specimens. There was no significant relationship between adherence to AAP guidelines and respondent's age, gender, years in practice, fellowship training, academic affiliation, or other demographic factors.
  
  
  CONCLUSIONS
  Up to 18% of practitioners prefer bagged specimens over more sterile ones in the workup of febrile UTIs in infants, against AAP guidelines.
authors.affiliation: Mount Sinai Medical Center, New York, NY, USA karl.coutinho@gmail.com.
authors.forename: Karl
authors.initials: K
authors.lastname: Coutinho
authors.affiliation: The Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Kristian
authors.initials: K
authors.lastname: Stensland
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Ardavan
authors.initials: A
authors.lastname: Akhavan
authors.affiliation: The Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Jayadevan
authors.affiliation: Mount Sinai Medical Center, New York, NY, USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Stock
mesh_terms: D000328:Adult; D005260:Female; D019983:Guideline Adherence / Q000639:trends*; D006801:Humans; D007223:Infant; D008297:Male; D010372:Pediatrics; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D014481:United States; D014552:Urinary Tract Infections / Q000382:microbiology*; D014556:Urine / Q000382:microbiology
keywords: pediatrics; urinary tract infection; urine sampling