• Choosing Wisely®

    Voiding Cystourethrogram (VCUG) for First Febrile Urinary Tract Infection in Young Children


    Do not perform voiding cystourethrogram (VCUG) routinely in first febrile urinary tract infection (UTI) in children aged 2-24 months.

    The risks associated with radiation (plus the discomfort and expense of the procedure) outweigh the risk of delaying the detection of the few children with correctable genitourinary abnormalities until their second UTI.


    AAP Clinical Practice Guideline: Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months

    ACR-SPR Practice Guideline for the Performance of Voiding Cystourethrography in Children

    National Institute for Health and Care Excellence 2007. Urinary tract infection in children: Diagnosis, treatment and long-term management

    Marie E Westwood, Penny F Whiting, Julie Cooper, Ian S Watt and Jos Kleijnen. Further investigation of confirmed urinary tract infection (UTI) in children under five years: a systematic review.  BMC Pediatrics 2005 Mar 15;5:2

    More About Choosing Wisely®

    About Choosing Wisely®

    The Choosing Wisely®  campaign was created as an initiative of the American Board of Internal Medicine (ABIM) Foundation to improve health care quality. More than 70 specialty societies have identified commonly used tests or procedures within their specialties that are possibly overused.

    Learn more about the AAFP support of the Choosing Wisely® campaign.

    This recommendation is provided solely for informational purposes and is not intended as a substitute for consultation with a medical professional. Patients with any specific questions about this recommendation or their individual situation should consult their physician.