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American Academy of Pediatrics
EXPERIENCE AND REASON

Enhanced Urinalysis as a Screening Test for Urinary Tract Infection

ALEJANDRO HOBERMAN, ELLEN R. WALD, LILA PENCHANSKY, ELLEN A. REYNOLDS and STACEY YOUNG
Pediatrics June 1993, 91 (6) 1196-1199;
ALEJANDRO HOBERMAN
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ELLEN R. WALD
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LILA PENCHANSKY
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ELLEN A. REYNOLDS
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STACEY YOUNG
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Abstract

Urinary tract infection (UTI) is a common and important clinical problem in infants and young children. UTI is often suspected on the basis of results of microscopic urinalysis; accordingly, it is important that its results be as reproducible, accurate, and easily interpretable as possible. A positive urinalysis allows early detection and treatment of UTI, while a negative urinalysis can potentially eliminate the cost of expensive hospitalization for intravenous administration of antibiotics, the current standard treatment of UTI in young febrile children.

In pediatric primary care facilities, microscopic urinalysis often is performed using centrifuged urine and reported as the number of white blood cells (WBCs) or bacteria per high-power microscopic field (hpf).

  • Copyright © 1993 by the American Academy of Pediatrics

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Pediatrics
Vol. 91, Issue 6
1 Jun 1993
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Enhanced Urinalysis as a Screening Test for Urinary Tract Infection
ALEJANDRO HOBERMAN, ELLEN R. WALD, LILA PENCHANSKY, ELLEN A. REYNOLDS, STACEY YOUNG
Pediatrics Jun 1993, 91 (6) 1196-1199;

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Enhanced Urinalysis as a Screening Test for Urinary Tract Infection
ALEJANDRO HOBERMAN, ELLEN R. WALD, LILA PENCHANSKY, ELLEN A. REYNOLDS, STACEY YOUNG
Pediatrics Jun 1993, 91 (6) 1196-1199;
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Cited By...

  • Performance of the Modified Boston and Philadelphia Criteria for Invasive Bacterial Infections
  • Urine Specific Gravity and the Accuracy of Urinalysis
  • Rhinovirus in Febrile Infants and Risk of Bacterial Infection
  • The Diagnosis of UTI: Concentrating on Pyuria
  • Urine Concentration and Pyuria for Identifying UTI in Infants
  • Lack of Clinical Utility of Urine Gram Stain for Suspected Urinary Tract Infection in Pediatric Patients
  • Automated Urinalysis and Urine Dipstick in the Emergency Evaluation of Young Febrile Children
  • Dipstick Screening for Urinary Tract Infection in Febrile Infants
  • Accuracy of Administrative Billing Codes to Detect Urinary Tract Infection Hospitalizations
  • Defining Cerebrospinal Fluid White Blood Cell Count Reference Values in Neonates and Young Infants
  • Bag versus Catheter Urine Specimens in the Diagnosis of UTI in Young Children
  • Risk of Serious Bacterial Infection in Young Febrile Infants With Respiratory Syncytial Virus Infections
  • C-Reactive Protein in Febrile Children 1 to 36 Months of Age With Clinically Undetectable Serious Bacterial Infection
  • Enhanced Urinalysis Improves Identification of Febrile Infants Ages 60 Days and Younger at Low Risk for Serious Bacterial Illness
  • Urinary Tract Infection in Febrile Infants Younger Than Eight Weeks of Age
  • Screening Tests for Urinary Tract Infection in Children: A Meta-analysis
  • New Advances in Childhood Urinary Tract Infections
  • Pyelonephritis at Home--Why Not?
  • Oral Versus Initial Intravenous Therapy for Urinary Tract Infections in Young Febrile Children
  • Technical Report: Urinary Tract Infections in Febrile Infants and Young Children
  • Screening for Urinary Tract Infection in Infants in the Emergency Department: Which Test Is Best?
  • Management of the Young Febrile Child: A Commentary on Recent Practice Guidelines
  • ENHANCED URINALYSIS IMPROVES THE ACCURACY OF DETECTING UTI
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  • Deaths Resulting From Hypocalcemia After Administration of Edetate Disodium: 2003-2005
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