| Urinary tract infections in febrile infants younger than 8 weeks of age. | |
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MedLine Citation:
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PMID: 2388785 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this prospective study of 442 infants younger than 8 weeks of age who attended a pediatric emergency department with temperature greater than or equal to 100.6 degrees F (38.1 degrees C), urinary tract infections (UTIs) were found in 33 patients (7.5%), 2 of whom were bacteremic. Clinical and laboratory data were not helpful for identifying UTIs. Of the 33 patients with UTIs, 32 had urinalyses recorded; 16 were suggestive of a UTI (more than five white blood cells per high-power field or any bacteria present). Of the 16 infants with apparently normal urinalysis results, three had an emergency department diagnosis suggesting an alternative bacterial focus of infection. If the physician had decided on the basis of apparently normal urinalysis results to forgo obtaining a urine culture, more than half of the UTIs would have been missed. Bag-collected specimens were significantly more likely to yield indeterminate urine culture results than either catheter or suprapubic specimens. In addition, uncircumcised males were significantly more likely to have a UTI than circumcised boys. These results suggest that a suprapubic or catheter-obtained urine specimen for culture is a necessary part of the evaluation of all febrile infants younger than 8 weeks of age, regardless of the urinalysis findings or another focus of presumed bacterial infection. |
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Authors:
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E F Crain; J C Gershel |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 86 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1990 Sep |
Date Detail:
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Created Date: 1990-09-27 Completed Date: 1990-09-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 363-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bacteria
/
isolation & purification Bacteriuria / complications, diagnosis, epidemiology, microbiology Circumcision, Male Emergencies Female Fever / diagnosis*, epidemiology, etiology, microbiology Humans Infant Infant, Newborn Male New York City / epidemiology Prospective Studies Risk Factors Urinary Tract Infections / complications, diagnosis*, epidemiology, microbiology |
| Comments/Corrections | |
Comment In:
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Pediatrics. 1991 May;87(5):745-6
[PMID:
2020532
]
Pediatrics. 1991 Aug;88(2):416-7 [PMID: 1861954 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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