Volume : IV, Issue : I, January - 2015

CLINICAL PREDICTION CRITERIA TO IDENTIFY FEBRILE YOUNG CHILDREN (0–5 YRS) FOR URINARY TRACT INFECTION

R. Arora, S. Bhanja

Abstract :

The study is thereby undertaken to formulate a clinical prediction criteria to identify feile young children (<5yrs) at risk of UTI .It is a prospective study. Two hundred children younger than 5 years of age presenting to the ED with a fever ( 38.5°C) for more than 2 days who did not have a definite source for their fever and who were not on antibiotics or immunosuppressed. Otitis media, gastroenteritis, and upper respiratory infection were considered potential but not definite sources of fever. According to our study mean age of presentation is 2.6 years, most of culture positive group are females (73%).Significant number of patients with urinary tract infection had vomiting (31%), abdominal pain(55%), suprapubic tenderness(47%), irritability(50%), decreased oral acceptance (80%). Most common organism isolated in culture is E.Coli (69%). An effort was made for formulation of prediction criteria for less than 2 years and more than 2 years. Six criteria were included - female sex, fever more than 102 F, vomiting, irritability, decreased oral acceptance and abdominal pain to make the prediction model for culture positivity in feile patients. .Presence of two or more criteria further increases the chance of having positive result. Sensitivity and positive predictive value of culture increased when 2 criteria are taken as compared when only one criteria is taken.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

R. Arora, S.Bhanja Clinical Prediction Criteria to Identify Febrile Young Children (0-5 Yrs) For Urinary Tract Infection International Journal of Scientific Research, Vol : 4, Issue : 1 January 2015

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