Evaluation of new American academy of pediatrics guideline for febrile urinary tract infection

Da Min Choi, Tae Hoon Heo, Hyung-Eun Yim, Kee Hwan Yoo

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: To evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline. Methods: We retrospectively reviewed the medical records of febrile UTI patients aged between 2 and 24 months. The patients were divided into 3 groups: group I (patients with positive urine culture and urinalysis findings), group II (those with positive urine culture but negative urinalysis findings), and group III (those with negative urine culture but positive urinalysis findings). Clinical, laboratory, and imaging results were analyzed and compared between the groups. Results: A total of 300 children were enrolled. The serum C-reactive protein level was lower in children in group II than in those in groups I and III (P<0.05). Children in group I showed a higher frequency of hydronephrosis than those in groups II and III (P<0.05). However, the frequencies of acute pyelonephritis (APN), vesicoureteral reflux (VUR), renal scar, and UTI recurrence were not different between the groups. In group I, recurrence of UTI and presence of APN were associated with the incidence of VUR (recurrence vs. no recurrence: 40% vs.11.4%; APN vs. no APN: 23.3% vs. 9.2%; P<0.05). The incidence of VUR and APN was not related to the presence of hydronephrosis. Conclusion: UTI in febrile children cannot be ruled out solely on the basis of positive urinalysis or urine culture findings. Recurrence of UTI and presence of APN may be reasonable indicators of the presence of VUR.

Original languageEnglish
Pages (from-to)341-346
Number of pages6
JournalKorean Journal of Pediatrics
Volume58
Issue number9
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Pyelonephritis
Urinary Tract Infections
Vesico-Ureteral Reflux
Urinalysis
Fever
Guidelines
Pediatrics
Recurrence
Urine
Hydronephrosis
Incidence
C-Reactive Protein
Cicatrix
Medical Records
Blood Proteins
Kidney

Keywords

  • Practice guideline
  • Recurrence
  • Urinary tract infections
  • Vesico-ureteral reflux

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pediatrics

Cite this

Evaluation of new American academy of pediatrics guideline for febrile urinary tract infection. / Choi, Da Min; Heo, Tae Hoon; Yim, Hyung-Eun; Yoo, Kee Hwan.

In: Korean Journal of Pediatrics, Vol. 58, No. 9, 01.01.2015, p. 341-346.

Research output: Contribution to journalArticle

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