RT Journal Article
SR Electronic
T1 Should you test for urinary tract infection in children with respiratory symptoms?
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 169
OP 170
DO 10.46747/cfp.7003169
VO 70
IS 3
A1 Iio, Kazuki
A1 Goldman, Ran D.
YR 2024
UL http://www.cfp.ca/content/70/3/169.abstract
AB Question An 8-month-old boy presented to our clinic with a 3-day history of fever. He has had a cough and rhinorrhea since the onset of the fever, and his 4-year-old sibling has recently had cough and cold symptoms. I have heard that the presence of respiratory symptoms means that urinary tract infection (UTI) is less likely. In infants with fever and respiratory symptoms, who should have a sample collected for urinalysis for UTI?Answer The approach to diagnosing febrile infants who have respiratory symptoms varies by age. Urinalysis should be done for all febrile infants younger than 2 months of age, regardless of whether they have respiratory symptoms. Clinicians should assess risk factors for UTI in every infant between 2 and 24 months of age and should not exclude the diagnosis of UTI based on respiratory symptoms alone. Use of a predictive tool to estimate the pretest probability of UTI would aid decision making about patients in this population.