Two-step process for ED UTI screening in febrile young children: Reducing catheterization rates

Pediatrics

Volumn 138, Issue 1, 2016, Pages

  Lavelle, Jane M ^a,b   Blackstone, Mercedes M ^a,b   Funari, Mary Kate ^a   Roper, Christine ^a   Lopez, Patricia ^a   Schast, Aileen ^a   Taylor, April M ^a   Voorhis, Catherine B ^a   Henien, Mira ^a   Shaw, Kathy N ^a,b  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHILD; CHILDHOOD DISEASE; EMERGENCY CARE; EMERGENCY WARD; FEMALE; FEVER; HEALTH CARE UTILIZATION; HUMAN; INFANT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MASS SCREENING; MINIMALLY INVASIVE PROCEDURE; PRIORITY JOURNAL; TIME SERIES ANALYSIS; TOTAL QUALITY MANAGEMENT; URETHRAL CATHETERIZATION; URINALYSIS; URINARY TRACT INFECTION; BLADDER CATHETERIZATION; CLINICAL TRIAL; COMPLICATION; FOLLOW UP; HOSPITAL EMERGENCY SERVICE; OUTCOME ASSESSMENT; PRESCHOOL CHILD; PROCEDURES; STANDARDS; STATISTICS AND NUMERICAL DATA; URINARY TRACT INFECTIONS; URINE SAMPLING;

CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; FEMALE; FEVER; FOLLOW-UP STUDIES; HUMANS; INFANT; MALE; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY IMPROVEMENT; URINARY CATHETERIZATION; URINARY TRACT INFECTIONS; URINE SPECIMEN COLLECTION;

EID: 84976897926     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2015-3023     Document Type: Article

References (12)

1. Montini G, Tullus K, Hewitt I. Febrile urinary tract infections in children. N Engl J Med. 2011;365(3): 239-250
2. Ginsburg CM, McCracken GH Jr. Urinary tract infections in young infants. Pediatrics. 1982;69(4): 409-412
3. Hoberman A, Wald ER, Hickey RW, et al. Oral versus initial intravenous therapy for urinary tract infections in young febrile children. Pediatrics. 1999;104(1 pt 1): 79-86
4. Doganis D, Siafas K, Mavrikou M, et al. Does early treatment of urinary tract infection prevent renal damage? Pediatrics. 2007;120(4). Available at: Www.pediatrics.org/cgi/content/full/120/4/e922
5. Round J, Fitzgerald AC, Hulme C, Lakhanpaul M, Tullus K. Urinary tract infections in children and the risk of ESRF. Acta Paediatr. 2012;101(3): 278-282
6. Roberts KB; Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management. Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics. 2011;128(3): 595-610
7. Al-OrifiF, McGillivray D, Tange S, Kramer MS. Urine culture from bag specimens in young children: Are the risks too high? J Pediatr. 2000;137(2): 221-226
8. Gorelick MH, Hoberman A, Kearney D, Wald E, Shaw KN. Validation of a decision rule identifying febrile young girls at high risk for urinary tract infection. Pediatr Emerg Care. 2003;19(3): 162-164
9. Shaw KN, McGowan KL, Gorelick MH, Schwartz JS. Screening for urinary tract infection in infants in the emergency department: Which test is best? Pediatrics. 1998;101(6). Available at: Www.pediatrics.org/cgi/content/full/101/6/E1
10. Hoberman A, Wald ER, Reynolds EA, Penchansky L, Charron M. Pyuria and bacteriuria in urine specimens obtained by catheter from young children with fever. J Pediatr. 1994;124(4): 513-519
11. Shaw KN, Gorelick M, McGowan KL, Yakscoe NM, Schwartz JS. Prevalence of urinary tract infection in febrile young children in the emergency department. Pediatrics. 1998;102(2). Available at: Www.pediatrics.org/cgi/content/full/101/2/e16
12. Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Saf Health Care. 2003;12(6): 458-464