Dipstick urinalysis for the emergency department evaluation of urinary tract infections in infants aged less than 2 years

European Journal of Emergency Medicine

Volumn 18, Issue 4, 2011, Pages 221-224

  Ramlakhan, Shammi L ^a   Burke, Derek P ^a   Goldman, Rebecca S ^a  

^a SHEFFIELD CHILDREN S HOSPITAL   (United Kingdom)

Author keywords

infant; sensitivity; specificity; urinalysis; urinary tract infections

Indexed keywords

ESTERASE; NITRITE; PROTEIN;

ARTICLE; BLOOD; CHILD; CLINICAL EVALUATION; DIPSTICK TEST; EMERGENCY WARD; FEMALE; FEVER; GOLD STANDARD; HUMAN; INFANT; LEUKOCYTE; MAJOR CLINICAL STUDY; MALE; NEWBORN; PRESCHOOL CHILD; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; SENSITIVITY AND SPECIFICITY; URINALYSIS; URINARY TRACT INFECTION; URINE CULTURE;

COHORT STUDIES; FEMALE; HUMANS; INFANT; MALE; REAGENT STRIPS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; URINALYSIS; URINARY TRACT INFECTIONS;

EID: 79960304810     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e3283440e88     Document Type: Article

References (19)

1. Armon K, Stephenson T, Gabriel V, MacFaul R, Eccleston P, Werneke U, et al. Audit: determining the common medical presenting problems to an accident and emergency department. Arch Dis Child 2001; 84:390-392. (Pubitemid 32411226)
2. Royal College of Paediatrics and Child Health. American Academy of Pediatrics guideline appraisal. Available at: http://www.rcpch.ac.uk/ publications/clinical-docs/UTI-guideline.pdf. [Accessed 1 April 2008]
3. Verrier-Jones K, Hockley B, Scrivener R, Pollock JI. Diagnosis and management of urinary tract infections in children under two years: assessment of practice against published guidelines. London: Royal College of Paediatrics and Child Health; 2001.
4. Pylkkanen J, Vilska J, Koskimies O. The value of diagnosis of childhood urinary tract infection in predicting renal injury. Acta Paediatr Scand 1981; 70:879-883. (Pubitemid 11027052)
5. Berg U, Johansson S. Age as a main determinant of renal functional damage in urinary tract infection. Arch Dis Child 1983; 58: 963-969. (Pubitemid 14215834)
6. Vernon S, Coulthard M, Lambert H, Keir M, Matthews J. New renal scarring in children who at age 3 and 4 years had had normal scans with dimercaptosuccinic acid: a follow up study. BMJ 1997; 315:905-908. (Pubitemid 27425120)
7. Larcombe J. Urinary tract infection in children. BMJ 1999; 319:1173-1175. (Pubitemid 29502023)
8. The management of UTI in children. Drug Ther Bull 1997; 35:65-69.
9. Bartkowski P. Recognizing UTIs in infants and children Early treatment prevents permanent damage. Postgrad Med 2001; 109:171
10. American Academy of Pediatrics. Practice Parameter: The diagnosis, treatment and evaluation of the initial UTI in febrile infants and young children. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Pediatrics 1999; 103:843-852.
11. National Collaborating Centre for Women's and Children's Health (for the National Institute for Health and Clinical Excellence). Urinary Tract Infection: diagnosis, treatment and long term management of urinary tract infections in children. London: RCOG Press; 2007.
12. Whiting P, Westwood M, Watt I, Cooper J, Kleijnen J. Rapid tests and urine sampling techniques the diagnosis of UTI in children under five years: a systematic review. BMC Pediatrics 2005; 5:4.
13. Gorelick M, Shaw K. Screening tests for UTIs in children: a meta-analysis. Pediatrics 1999; 104:e54.
14. Huicho L, Campos Sanchez M, Alamo C. Metanalysis of urine screening tests for determining the risk of UTI in children. Pediatr Infect Dis J 2002; 21:1-11. (Pubitemid 34073950)
15. Devillé W, Yzermans J, van Duijn N, Bezemer P, van der Windt D, Bouter L. The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy. BMC Urology 2004; 4:4.
16. Loo S, Scottolini A, Luangphinith S, Adam A, Jacobs L, Mariani A. Urine screening strategy employing dipstick analysis and selective culture: an evaluation. Am J Clin Pathol 1984; 81:634-642. (Pubitemid 14139104)
17. Shaw K, McGowan K, Gorelick M, Schwartz J. Screening for UTI in infants in the emergency department: which test is best? Pediatrics 1998; 101:e1.
18. Kramer M, Tange S, Drummond K, Mills E. Urine testing in young febrile children: a risk-benefit analysis. J Pediatr 1994; 125:6-13. (Pubitemid 24225169)
19. Mori R, Yonemoto N, Fitzgerald A, Tullus K, Verrier-Jones K, Lakhanpaul M. Diagnostic performance of urine dipstick testing in children with suspected UTI: a systematic review of relationship with age and comparison with microscopy. Acta Paediatr 2010; 99:581-584.