For example, while he agrees that the recommendation on selective urine testing based on the prior probability of UTI is "an important improvement," and he lauded the subcommittee’s job summarizing the factors that determine that probability, he questioned the assertion that the threshold probability for urine testing is below 3%, and proposed that until this is proven, the decision to test should be individualized.
Additionally, while he said he is "glad the new guideline continues to offer the option of obtaining urine for urinalyses noninvasively," he also said he is not convinced that the bag urine can never be used for culture. "If the urinalysis is used to select urine for culture, the prior probability may sometimes be in a range where the bag culture will be useful," he explained.
Despite these and other concerns addressed by Dr. Newman, he saluted the authors and noted that the updated guideline should prove helpful to clinicians and families dealing with this common problem.
Members of the subcommittee that developed this guideline included individuals with expertise in the fields of academic general pediatrics, epidemiology and informatics, pediatric infectious disease, pediatric nephrology, pediatric practice, pediatric radiology, and pediatric urology. The AAP funded the development of the guidelines; none of the subcommittee members had financial conflicts of interest. Dr. Newman also had no financial conflicts to report.