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Diagnosing urinary tract infections in febrile infants and children: when evidence-based medicine and clinical practice collide

Published online by Cambridge University Press:  21 May 2015

Julie Spence  and
John Ross
Julie Spence*
Affiliation:
St. Michael’s Hospital and Division of Emergency Medicine; Department of Medicine, University of Toronto, Toronto, Ont
John Ross*
Affiliation:
QE II Health Sciences Centre and Department of Emergency Medicine and Division of Medical Education, Dalhousise University, Halifax, NS
*
j.spence@utoronto.ca
johnross@is.dal.ca

Abstract

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The management of febrile pediatric patients is challenging, and the literature is replete with articles describing diverse diagnostic and therapeutic strategies. As many as 5% of infants and young children presenting with fever will be diagnosed with urinary tract infection. Many controversies exist concerning the management of these infections, the most important being: how to make the diagnosis. The financial and time costs of emergency department management must be balanced against the potential future costs of investigations and complications.

Type
Controversies • Controverses
Information
Canadian Journal of Emergency Medicine , Volume 2 , Issue 3 , July 2000 , pp. 197 - 200
Copyright
Copyright © Canadian Association of Emergency Physicians 2000

References

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