The Clinical Practice Guideline for the Diagnosis and Treatment of Urinary Tract Infection in Children from Eight Days to Five Years of Age is intended for pediatricians and other pediatric clinicians who diagnose and manage young infants and children with urinary tract infections (UTIs).
Overview
The CPG was developed by a panel of multidisciplinary experts that included both generalist and subspecialist perspectives on the diagnosis and management of UTI.
This CPG also provides an update of the literature and a revision of the clinical guidance, rather than a reaffirmation, of the 2011 UTI CPG. The previous CPG was retired in 2021 due to the improper use of race as a risk factor. This current CPG no longer uses race as a risk factor, has expanded the age range from 2 months-2 years of age to 8 days-5 years of age, includes changes in the clinical criteria of UTI, supports shorter antibiotic courses in selected patients, and further addresses constipation and bladder-bowel dysfunction as contributors to recurrent infection. Below are tools and resources to support implementation of this guideline.
Objective
This toolkit is designed to support clinicians in making actionable decisions regarding the diagnosis and management of UTI. Clinicians and clinical practices are encouraged to modify or adapt these tools based on their clinical population, practice environment, and local system resources and constraints.
Professional Tools & Resources
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Section on Hospital Medicine
Their mission is to optimize the delivery of health care to children in hospital settings.
Section on Emergency Medicine
Their mission is to sustain, develop, and promote the delivery of optimal emergency care for acutely ill and injured children and adolescents.
Section on Infectious Disease
Their mission aims to improve the care of fetuses, newborns, infants, children, adolescents, and young adults with infectious conditions and to promote the prevention of these diseases through educating trainees, disseminating knowledge of pediatric infectious diseases, promoting quality and supporting research in infectious diseases.
Section on Nephrology
Their mission is to is to improve the health and well-being of infants, children, and adolescents with disorders of the kidneys and urinary tract and hypertension
Section on Urgent Care
Seeks to ensure that the developing field of pediatric urgent care is dedicated to patient-centered, evidence-based treatment for children in an urgent care setting while preserving a focus on the medical home.
Section on Urology
This section provides an educational forum for the discussion of problems and treatments related to pediatric urologic disease and strives to stimulate research in, and the teaching of, pediatric urology.
Last Updated
08/03/2026
Source
American Academy of Pediatrics