This study provides a comparative analysis of nine international pediatric urinary tract infection (UTI) guidelines published after 2016 from different continents. The findings reveal that while the guidelines share fundamental principles such as symptom-based evaluation, culture-based diagnosis, and selective imaging, there are notable regional differences in defining age-specific risk groups, urine collection methods, culture threshold values, prioritization of laboratory tests, and imaging strategies. These differences appear to be associated with the healthcare systems, infection prevalence, and resource availability in each region. The results highlight the need for a more unified and standardized approach to pediatric UTI management worldwide.

Keywords: urinary tract infection, pediatric, guideline, imaging, risk