Gérard Bréart, MD
Institut National de la Santé et de la Recherche Médicale U149
75014 Paris, France
Martin Chalumeau, MD, PhD
Department of Pediatrics
Clinical Epidemiology Unit
Saint-Vincent-de-Paul Hospital
75014 Paris, France
Institut National de la Santé et de la Recherche Médicale U149
75014 Paris, France
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In Reply.
We greatly appreciate Chevalier and Gauthier's interest in our article.1 They suggest that the use of sterile bags for urine collection biased our results. They base their comments largely on a technical report2 that support the American Academy of Pediatrics practice parameter on urinary tract infection (UTI).3 As stated in the discussion of our article,1 we agree that the use of sterile bags for urine collection is not as specific as suprapubic aspiration or transurethral catheterization.
However, data concerning the specificity of sterile bags in nontoilet-trained children older than 1 month is scarce. The only valid method for ascertaining the specificity of sterile bags
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