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Use of Urine Dipstick Evaluating Young Infants With Fever Without a Source and Positive Urine Culture

Mintegi, Santiago MD*,†; Gomez, Borja MD*; Urra, Elena MD; Romero, Ana MD*; Paniagua, Natalia MD*; Lopez, Edurne MD*; Benito, Javier MD*

Pediatric Infectious Disease Journal: December 2011 - Volume 30 - Issue 12 - p 1103–1105
doi: 10.1097/INF.0b013e31822cbb5f
Brief Reports

We analyzed 239 febrile infants <3 months of age with a positive urine culture to examine their characteristics. Patients with altered urine dipstick showed more commonly alterations of the biologic markers for bacterial infection, and Escherichia coli was more commonly isolated. Febrile young infants with positive urine culture and negative urine dipstick may not have a urinary tract infection and less aggressive management can be considered.

From the *Department of Paediatric Emergency, Cruces Hospital, Osakidetza-Basque Health Service, Bilbao, Spain;†Department of Paediatrics, University of the Basque Country, Bilbao, Spain; and ‡Microbiology Department, Cruces Hospital, Osakidetza-Basque Health Service, Bilbao, Spain.

Accepted for publication July 7, 2011.

The authors have no funding or conflicts of interest to disclose.

Address for correspondence: Santiago Mintegi, MD, Paediatric Emergency Department, Cruces Hospital, Plaza de Cruces s/n, Barakaldo, Basque Country, Spain. E-mail: santiago.mintegi@osakidetza.net.

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© 2011 Lippincott Williams & Wilkins, Inc.