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Duration of fever affects the likelihood of a positive bag urinalysis or catheter culture in young children.
J Pediatr. 2010 Apr; 156(4):629-33.JPed

Abstract

OBJECTIVE

To test the hypothesis that there will be a clinically significant rise in the proportion of positive bag urinalyses and catheter cultures in young children with increasing duration of fever.

STUDY DESIGN

This was a prospective cohort study of 818 infants and children age 3-36 months presenting to a tertiary care emergency department with documented fever without source. Following the documentation of fever from < 1 to > or = 5 days, bag specimens were collected for urinalysis. The primary outcome was the yield of positive bag dipsticks by day, defined as positive for nitrates or more than trace leukocyte esterase. The secondary outcome was positive catheter cultures on each day of fever.

RESULTS

Positive bag urinalyses increased with duration of fever: 14.8% (35/237) on day 1 versus 26.4% (43/163) on day 3 (relative risk [RR] = 1.8; 95% confidence interval [CI] = 1.2-2.7; P = .004). Positive catheter cultures increased in the same fashion: 4.8% (11/229) on day 1 versus 12.6% (20/159) on day 3 (RR = 2.6; 95% CI = 1.3-5.3; P = .005).

CONCLUSIONS

The yield of positive bag urinalyses and catheter cultures increased significantly in children with fever of 3 days or longer duration.

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Authors+Show Affiliations

Bin Salleeh H
Department of Emergency Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
McGillivray D
No affiliation info available
Martin M
No affiliation info available
Patel H
No affiliation info available

MeSH

Child, PreschoolColony Count, MicrobialDiagnosis, DifferentialFemaleFeverFollow-Up StudiesHumansInfantMaleProspective StudiesSpecimen HandlingUrinalysisUrinary CatheterizationUrinary Tract InfectionsUrine

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20022342

Citation

Bin Salleeh, Hashim, et al. "Duration of Fever Affects the Likelihood of a Positive Bag Urinalysis or Catheter Culture in Young Children." The Journal of Pediatrics, vol. 156, no. 4, 2010, pp. 629-33.
Bin Salleeh H, McGillivray D, Martin M, et al. Duration of fever affects the likelihood of a positive bag urinalysis or catheter culture in young children. J Pediatr. 2010;156(4):629-33.
Bin Salleeh, H., McGillivray, D., Martin, M., & Patel, H. (2010). Duration of fever affects the likelihood of a positive bag urinalysis or catheter culture in young children. The Journal of Pediatrics, 156(4), 629-33. https://doi.org/10.1016/j.jpeds.2009.10.016
Bin Salleeh H, et al. Duration of Fever Affects the Likelihood of a Positive Bag Urinalysis or Catheter Culture in Young Children. J Pediatr. 2010;156(4):629-33. PubMed PMID: 20022342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Duration of fever affects the likelihood of a positive bag urinalysis or catheter culture in young children. AU - Bin Salleeh,Hashim, AU - McGillivray,David, AU - Martin,Mitch, AU - Patel,Hema, Y1 - 2009/12/21/ PY - 2009/06/15/received PY - 2009/08/12/revised PY - 2009/10/15/accepted PY - 2009/12/22/entrez PY - 2009/12/22/pubmed PY - 2010/4/30/medline SP - 629 EP - 33 JF - The Journal of pediatrics JO - J Pediatr VL - 156 IS - 4 N2 - OBJECTIVE: To test the hypothesis that there will be a clinically significant rise in the proportion of positive bag urinalyses and catheter cultures in young children with increasing duration of fever. STUDY DESIGN: This was a prospective cohort study of 818 infants and children age 3-36 months presenting to a tertiary care emergency department with documented fever without source. Following the documentation of fever from < 1 to > or = 5 days, bag specimens were collected for urinalysis. The primary outcome was the yield of positive bag dipsticks by day, defined as positive for nitrates or more than trace leukocyte esterase. The secondary outcome was positive catheter cultures on each day of fever. RESULTS: Positive bag urinalyses increased with duration of fever: 14.8% (35/237) on day 1 versus 26.4% (43/163) on day 3 (relative risk [RR] = 1.8; 95% confidence interval [CI] = 1.2-2.7; P = .004). Positive catheter cultures increased in the same fashion: 4.8% (11/229) on day 1 versus 12.6% (20/159) on day 3 (RR = 2.6; 95% CI = 1.3-5.3; P = .005). CONCLUSIONS: The yield of positive bag urinalyses and catheter cultures increased significantly in children with fever of 3 days or longer duration. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/20022342/Duration_of_fever_affects_the_likelihood_of_a_positive_bag_urinalysis_or_catheter_culture_in_young_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(09)01032-4 DB - PRIME DP - Unbound Medicine ER -