Urinary tract infection in infants with unexplained fever: A collaborative study

Kenneth B. Roberts, Evan Charney, Ronald J. Sweren, Vincent I. Ahonkhai, David A. Bergman, Molly P. Coulter, Gerald M. Fendrick, Barry S. Lachman, Michael R. Lawless, Robert H. Pantell, Martin T. Stein

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

Nine centers collaborated to determine the rate of urinary tract infection in infants with unexplained fever, to determine whether the rate is higher in febrile infants than in asymptomatic infants, and whether the yield justifies urine cultures in febrile infants. Urine cultures were done in 501 infants 0 to 2 years of age. The rate of confirmed urinary tract infections in the 193 febrile infants was 4.1%. All infections were in girls, with a rate of 7.4%. The rate of confirmed urinary tract infections in the 312 asymptomatic infants was 0.3%; again, all infections were in girls, with a rate of 0.7%. The rate in febrile girls was significantly higher than the rate in asymptomatic girls (P<0.01). The data support the advisability of culturing the urine of infant girls with unexplained fever.

Original languageEnglish (US)
Pages (from-to)864-867
Number of pages4
JournalThe Journal of pediatrics
Volume103
Issue number6
DOIs
StatePublished - Dec 1983
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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