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Is antibiotic prophylaxis necessary for voiding cystourethrography?
  1. I Moorthy1,
  2. D Crook2,
  3. M Bale1,
  4. M Cubbon3,
  5. I Kenney1
  1. 1Department of Paediatric Radiology, Brighton and Sussex University Hospitals NHS Trust, Royal Alexandra Children's Hospital, Brighton, UK
  2. 2Clinical Investigation Unit, Brighton and Sussex University Hospitals NHS Trust, Royal Alexandra Children's Hospital, Brighton, UK
  3. 3Department of Microbiology, Brighton and Sussex University Hospitals NHS Trust, Royal Alexandra Children's Hospital, Brighton, UK
  1. Correspondence to Dr I Moorthy, Brighton and Sussex University Hospitals NHS Trust, Royal Alexandra Children's Hospital, Eastern Road, Brighton BN2 5PE, UK; ima.moorthy{at}bsuh.nhs.uk

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The National Institute for Health and Clinical Excellence guidelines1 for managing childhood urinary tract infection (UTI) suggest restricting subsequent antibiotic prophylaxis to vulnerable groups but giving 3 days prophylaxis to all children undergoing voiding cystourethrography (VCUG). The evidence for this latter recommendation is weak,2 with the only previous study3 being retrospective and without a control group. If antibiotic prophylaxis is unwarranted, then we would certainly not want to use it in these children. After obtaining …

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