Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-18T15:03:08.005Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

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

1.Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. American Academy of Pediatrics. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Pediatrics 1999;103 (4 pt 1):843–52.Google Scholar
2.Downs, SM. Technical report: urinary tract infections in febrile infants and young children. The Urinary Tract Subcommittee of the American Academy of Pediatrics Committee on Quality Improvement. Pediatrics 1999;103(4): e54. Available at: www.pediatrics.org/cgi/contnet/full/103/4/54eCrossRefGoogle Scholar
3.Richardson, WS, Detsky, AS. Users’ guide to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group. JAMA 1995;273:1292–5.CrossRefGoogle Scholar
4.Cabana, MD, Rand, CS, Powe, NR, Wu, AW, Wilson, MH, Abboud, PA, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement [review]. JAMA 1999;282:1458–65.CrossRefGoogle ScholarPubMed
5.Jarvis, A, Scolnik, D.A clinical perspective on diagnosis of urinary tract infections in children [controversy]. CJEM 2000;2(3):201–2.CrossRefGoogle Scholar