Urinary tract infections in febrile infants younger than 8 weeks of age.

摘要: In this prospective study of 442 infants younger than 8 weeks age who attended a pediatric emergency department with temperature greater or equal to 100.6 degrees F (38.1 C), urinary tract infections (UTIs) were found in 33 patients (7.5%), 2 whom bacteremic. Clinical and laboratory data not helpful for identifying UTIs. Of the UTIs, 32 had urinalyses recorded; 16 suggestive UTI (more five white blood cells per high-power field any bacteria present). apparently normal urinalysis results, three an diagnosis suggesting alternative bacterial focus infection. If physician decided on basis results forgo obtaining urine culture, more half UTIs would have been missed. Bag-collected specimens significantly likely yield indeterminate culture either catheter suprapubic specimens. addition, uncircumcised males circumcised boys. These suggest that catheter-obtained specimen is necessary part evaluation all febrile age, regardless findings another presumed