Performing a urine dipstick test with a clean-catch urine sample is an accurate screening method for urinary tract infections in young infants

2017 ◽  
Vol 107 (1) ◽  
pp. 145-150 ◽  
Author(s):  
María Luisa Herreros ◽  
Alfredo Tagarro ◽  
Araceli García-Pose ◽  
Aida Sánchez ◽  
Alfonso Cañete ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urine Sample ◽  
Urinary Tract Infections ◽  
Screening Method ◽  
Dipstick Test ◽  
Urine Dipstick ◽  
Young Infants ◽  
Urine Dipstick Test ◽  
Tract Infections

Diagnosis and management of male urinary tract infections: a need for new guidelines. Study from a French general practice electronic database

2020 ◽  
Author(s):  
Benjamin Soudais ◽  
Virginie Lacroix-Hugues ◽  
François Meunier ◽  
André Gillibert ◽  
David Darmon ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Dipstick Test ◽  
Urine Dipstick Test ◽  
Male Patients ◽  
New Guidelines ◽  
Tract Infections

Abstract Background The definition and the treatment of male urinary tract infections (UTIs) are imprecise. This study aims to determine the frequency of male UTIs in consultations of general practice, the diagnostic approach and the prescribed treatments. Methods We extracted the consultations of male patients, aged 18 years or more, during the period 2012–17 with the International Classification of Primary Care, version 2 codes for UTIs or associated symptoms from PRIMEGE/MEDISEPT databases of primary care. For eligible consultations in which all symptoms or codes were consistent with male UTIs, we identified patient history, prescribed treatments, antibiotic duration, clinical conditions, additional examinations and bacteriological results of urine culture. Results Our study included 610 consultations with 396 male patients (mean age 62.5 years). Male UTIs accounted for 0.097% of visits and 1.44 visits per physician per year. The UTIs most commonly identified were: undifferentiated (52%), prostatitis (36%), cystitis (8.5%) and pyelonephritis (3.5%). Fever was recorded in 14% of consultations. Urine dipstick test was done in 1.8% of consultations. Urine culture was positive for Escherichia coli in 50.4% of bacteriological tests. Fluoroquinolones were the most prescribed antibiotics (64.9%), followed by beta-lactams (17.4%), trimethoprim-sulfamethoxazole (11.9%) and nitrofurantoin (2.6%). Conclusions Male UTIs are rare in general practice and have different presentations. The definition of male UTIs needs to be specified by prospective studies. Diagnostic evidence of male cystitis may reduce the duration of antibiotic therapy and spare critical antibiotics.

Blood enterovirus polymerase chain reaction testing in young febrile infants

2021 ◽  
pp. archdischild-2020-321077
Author(s):  
Carla Pintos ◽  
Santiago Mintegi ◽  
Javier Benito ◽  
Maitane Aranzamendi ◽  
Leire Bonilla ◽  
...  
Keyword(s):  
Antibiotic Treatment ◽  
Clinical Decision Making ◽  
Bacterial Pathogen ◽  
Length Of Hospital Stay ◽  
Clinical Decision ◽  
Dipstick Test ◽  
Urine Dipstick ◽  
Young Infants ◽  
Urine Dipstick Test ◽  
The Impact

ObjectiveTo analyse the impact of blood enterovirus and human parechovirus PCR (ev-PCR) testing in young infants with fever without a source (FWS).DesignObservational study, subanalysis of a prospective registry.SettingPaediatric emergency department.PatientsInfants ≤90 days of age with FWS seen between September 2015 and August 2019 with blood ev-PCR, blood and urine cultures and urine dipstick test performed.Main outcome measuresPrevalence of invasive bacterial infection (IBI: bacterial pathogen in blood or cerebrospinal fluid) in infants with positive or negative ev-PCR test results. Secondarily, we also compared length of stay and antibiotic treatment in hospitalised infants.ResultsOf 703 infants, 174 (24.7%) had a positive blood ev-PCR and none of them were diagnosed with an IBI (vs 2.6% (95% CI 1.3% to 4.0%) of those with a negative result, p=0.02). Prevalence of non-IBI (mainly urinary tract infection) was also lower among infants with a positive blood ev-PCR (2.3% (95% CI 0.1% to 4.5%) vs 17.6% (95% CI 14.3% to 20.8%), p<0.01).Overall, 258 infants were hospitalised (36.6%) and 193 (74.8%) of them received antibiotics. Length of hospital stay and antibiotic treatment were shorter in those with a positive blood ev-PCR (median: 3 days vs 5 days and 1 day vs 5 days, respectively; p<0.01). Differences remained statistically significant among well-appearing infants >21 days old with normal urine dipstick.ConclusionBlood ev-PCR identifies a group of infants under 90 days of age with FWS at very low risk of IBI. This test may help to guide clinical decision making in young febrile infants.

scholarly journals 58REDUCING RELIANCE ON URINE DIPSTICK TESTING TO DIAGNOSE URINARY TRACT INFECTIONS (UTIs) IN OLDER PATIENTS

2017 ◽  
Vol 46 (suppl_1) ◽  
pp. i1-i22
Author(s):  
M Thake ◽  
J Parmenter ◽  
A Lomas ◽  
B Subramanian
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Older Patients ◽  
Urine Dipstick ◽  
Tract Infections

scholarly journals Efficacy of Empiric Treatment of Urinary Tract Infections in Neonates and Young Infants

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985799
Author(s):  
James W. Antoon ◽  
Paige J. Reilly ◽  
Erin H. Munns ◽  
Alan Schwartz ◽  
Jacob A. Lohr
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Length Of Stay ◽  
Urinary Tract Infections ◽  
Age Group ◽  
Prolonged Length ◽  
Enterococcal Infection ◽  
Young Infants ◽  
Empiric Antibiotic ◽  
Tract Infections

Background. The antibiotic resistance patterns of young infants with urinary tract infections (UTIs) have evolved over the past 2 decades. Whether current empiric antibiotic regimens are sufficient in this age group is unknown. Methods. A retrospective review of patients aged 0 to 60 days admitted with a UTI discharge diagnosis. Results. Overall susceptibility to empiric antibiotics was 87%. Antibiotic resistance and length of stay were highest among those who were afebrile, those admitted to the intensive care unit, and those with culture diagnosis of enterococcal infection. The sensitivity and specificity of ultrasound as a screening tool for genitourinary anomaly was 70% and 40%, respectively, with a positive predictive value of 31.8%. Conclusions. Empiric antibiotic regimens cover a high percentage of UTIs in infants. However, high rates of resistance and prolonged length of stay in patients with enterococcal infection highlight the need for continued surveillance of such patients in this age group.

scholarly journals Diagnosis and Management of UTI in Febrile Infants Age 0–2 Months: Applicability of the AAP Guideline

2020 ◽  
pp. 176-180
Author(s):  
Pearl W Chang ◽  
Marie E Wang ◽  
Alan R Schroeder
Keyword(s):  
Clinical Practice ◽  
Urinary Tract ◽  
American Academy ◽  
Urinary Tract Infections ◽  
Clinical Practice Guideline ◽  
Age Group ◽  
Routine Testing ◽  
Young Infants ◽  
American Academy Of Pediatrics ◽  
Tract Infections

Urinary tract infections (UTIs) are the most common bacterial infection in young infants. The American Academy of Pediatrics’ (AAP) clinical practice guideline for UTIs focuses on febrile children age 2-24 months, with no guideline for infants <2 months of age, an age group commonly encountered by pediatric hospitalists. In this review, we assess the applicability of the AAP UTI Guideline’s action statements for previously healthy, febrile infants <2 months of age. We also discuss additional considerations in this age group, including concurrent bacteremia and routine testing for meningitis.

scholarly journals How accurate is the urine dipstick test for diagnosing urinary tract infection?

2018 ◽  
Author(s):  
Esra Paydaş Hataysal ◽  
Beyza Saraçlıgil ◽  
Hatice Türk Dağı ◽  
Hüsamettin Vatansev
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Dipstick Test ◽  
Urine Dipstick ◽  
Urine Dipstick Test
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