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AUA: Vesicoureteral Reflux (2017)
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==== Child age < 1 with VUR ==== * '''VUR resolution occurs in β50% of these children within 24 months''' * Infants age < 1 may not show clinical evidence of pyelonephritis as clearly as older children and they may have a greater risk of infection-related morbidity. * '''<span style="color:#ff0000">Continuous antibiotic prophylaxis (CAP)</span>''' ** '''<span style="color:#ff0000">Recommended in children age < 1 with (2):</span>''' **# '''<span style="color:#ff0000">A history of a febrile UTI or</span>''' **# '''<span style="color:#ff0000">VUR grade β₯III</span>''' who is identified through screening, even in the absence of a history of febrile UTIs ** '''<span style="color:#ff0000">Optional in children age < 1 with:</span>''' *** '''<span style="color:#ff0000">VUR grades IβII</span>''' who is identified through screening, even in the absence of a history of febrile UTIs * '''<span style="color:#ff0000">Circumcision</span>''' ** '''<span style="color:#ff0000">May be considered in the infant male with VUR</span>''' based on an increased risk of UTIs in boys who are not circumcised compared to those who are circumcised. *** Although there are insufficient data to evaluate the degree of this increased risk and its duration, parents need to be made aware of this association to permit informed decision-making.
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