کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4166514 1607508 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Duration of Fever Affects the Likelihood of a Positive Bag Urinalysis or Catheter Culture in Young Children
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Duration of Fever Affects the Likelihood of a Positive Bag Urinalysis or Catheter Culture in Young Children
چکیده انگلیسی

ObjectiveTo 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 designThis 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 ≥ 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.ResultsPositive 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).ConclusionsThe yield of positive bag urinalyses and catheter cultures increased significantly in children with fever of 3 days or longer duration.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 156, Issue 4, April 2010, Pages 629–633
نویسندگان
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