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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 …
Competing interests None.
Ethics approval This study was conducted with the approval of the East Sussex Research Ethics Committee.
Provenance and peer reviewed Not commissioned; not externally peer reviewed.
Patient consent Obtained.