Diagnostic test accuracy of dipstick urinalysis for diagnosing urinary tract infection in febrile infants attending the emergency department.

ABSTRACT:

Objective

To report the diagnostic test accuracy of dipstick urinalysis for the detection of urinary tract infections (UTIs) in febrile infants aged 90 days or less attending the emergency department (ED).

Design

Retrospective cohort study.

Patients

Febrile infants aged 90 days or less attending between 31 August 2018 and 1 September 2019.

Main outcome measures

The sensitivity, specificity and predictive values of dipstick urinalysis in detecting UTIs defined as growth of ≥100 000 cfu/mL of a single organism and the presence of pyuria (>5 white blood cells per high-power field).

Setting

Eight paediatric EDs in the UK/Ireland.

Results

A total of 275 were included in the final analysis. There were 252 (92%) clean-catch urine samples and 23 (8%) were

SUBMITTER: Waterfield T 

PROVIDER: S-EPMC9685733 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature