Journal ArticleDOI
When to perform urine cultures in respiratory syncytial virus-positive febrile older infants?
Reads0
Chats0
TLDR
Febrile older infants who are RSV positive have a clinically significant rate of UTIs, and Circum circumcised boys are at a decreased risk of UTI, compared with uncircumcised boys.Abstract:
Background Respiratory syncytial virus (RSV) infections are associated with clinically significant rate of urinary tract infections (UTIs) in young infants. Previous research investigating RSV infections and UTIs has been performed mainly in infants younger than 2 to 3 months and has not focused on the risk of UTI in infants 3 to 12 months. Objective This study aimed to assess the rate of UTIs in febrile RSV-positive older infants admitted as inpatients and identify predictors of UTI in febrile RSV-positive older infants. Methods This is a retrospective comparative study of febrile RSV-positive infants 0 to 12 months of age admitted to the inpatient pediatric unit of Lincoln Medical and Mental Health Center, Bronx, from September through April 2006 to 2012. Infants 3 to 12 months were considered the cases, and infants 0 to 3 months were the comparative group. The rate of UTIs between the 2 groups was compared. Univariate tests and multiple logistic regression were used to identify demographic/clinical factors associated with UTI in febrile RSV-positive older infants. Results A total of 414 RSV-positive febrile infants were enrolled including 297 infants 3 to 12 months of age. The rate of UTI in older infants was 6.1% compared with 6.8% in infants younger than 3 months. Positive urinalysis finding was an independent predictor of UTI (P = 0.003) in older infants. All 11 boys with UTI were uncircumcised, and none of the 51 circumcised boys had UTI. Demographic (race, sex, and age) and clinical factors (temperature, white blood cell count, and absolute neutrophil count) were not associated with UTI. Conclusions Febrile older infants who are RSV positive have a clinically significant rate of UTIs. It seems prudent to examine the urine of these older infants. Positive urinalysis finding was a predictive factor of UTI. Circumcised boys are at a decreased risk of UTI, compared with uncircumcised boys.read more
Citations
More filters
Journal ArticleDOI
Rhinovirus in Febrile Infants and Risk of Bacterial Infection.
Anne J. Blaschke,E. Kent Korgenski,Jacob Wilkes,Angela P. Presson,Emily A. Thorell,Andrew T. Pavia,Elizabeth D. Knackstedt,Carolyn C. Reynolds,Jeff E. Schunk,Judy A. Daly,Judy A. Daly,Carrie L. Byington +11 more
TL;DR: HRV detection did not alter risk of concomitant urinary tract infection at any age or risk of IBI in infants 1–28 days old, and HRV detection may be relevant in considering risk ofIBI for infants 29–90 days of age.
Journal ArticleDOI
Association of Diagnostic Criteria With Urinary Tract Infection Prevalence in Bronchiolitis: A Systematic Review and Meta-analysis.
TL;DR: A systematic review and meta-analysis examining the prevalence of UTI in infants with bronchiolitis when positive UA results are incorporated into the UTI definition found that the estimated prevalence of concomitant UTI is less than recommended testing thresholds for bron chiolitis.
Journal ArticleDOI
Testing for Urinary Tract Infection in the Influenza/Respiratory Syncytial Virus-Positive Febrile Infant Aged 2 to 12 Months.
Anna Kathleen Schlechter Salinas,David S. Hains,Tamekia L. Jones,Camden Harrell,Mark Meredith +4 more
TL;DR: The population of 2- to 12-month-old febrile infants with positive influenza/RSV testing, who did not have risk factors to make their risk of UTI higher than 1%, may not have required evaluation with urinalysis or urine culture.
Journal ArticleDOI
Вирусные патогены при урологических заболеваниях
Д. В. Крахоткин,С. Н. Иванов,Ю. Л. Набока,М. И. Коган,И. А. Гудима,А. В. Ильяш,М. Э. Савкин,В. В. Красулин,Д. В. Сизякин +8 more
TL;DR: The most current and representative studies, containing an interpretation of the dynamics of opinions indicating the involvement of viruses in various urological diseases were selected.
Journal ArticleDOI
Urinary Tract Infection in Children With Bronchiolitis: Is It Worth Testing Everyone?
TL;DR: In this article, the prevalence of urinary tract infection (UTI) and the need to perform urine analysis and cultures in children admitted with bronchiolitis in a large tertiary children's hospital in Riyadh, Saudi Arabia was determined.
References
More filters
Journal ArticleDOI
Bronchiolitis-associated hospitalizations among US children, 1980-1996.
David K. Shay,Robert C. Holman,Robert D. Newman,Lenna L. Liu,James W. Stout,Larry J. Anderson +5 more
TL;DR: Rates of bronchiolitis-associated hospitalizations associated with RSV infection among infants may be greater than previous estimates for RSV bron chiolitis and pneumonia hospitalizations combined.
Journal ArticleDOI
Rates of hospitalization for respiratory syncytial virus infection among children in medicaid.
TL;DR: Children with bronchopulmonary dysplasia have high rates of RSV hospitalization until 24 months of age, and after the first year of life, children with congenital heart disease or prematurity have rates no higher than that of children at low risk who are <12 months old.
Journal ArticleDOI
Risk of Serious Bacterial Infection in Young Febrile Infants With Respiratory Syncytial Virus Infections
Deborah Levine,Shari L. Platt,Shari L. Platt,Peter S. Dayan,Charles G. Macias,Joseph J. Zorc,William Krief,Jeffrey Schor,David E. Bank,Nancy R. Fefferman,Kathy N. Shaw,Nathan Kuppermann +11 more
TL;DR: Febrile infants who are < or =60 days of age and have RSV infections are at significantly lower risk of SBI than febrile infant without RSV infection, and the rate of Sbis, particularly as a result of UTI, remains appreciable in febRIle RSV-positive infants.
Journal ArticleDOI
Clinical and demographic factors associated with urinary tract infection in young febrile infants
Joseph J. Zorc,Deborah Levine,Shari L. Platt,Shari L. Platt,Peter S. Dayan,Charles G. Macias,William Krief,Jeffrey Schor,David E. Bank,David E. Bank,Kathy N. Shaw,Nathan Kuppermann +11 more
TL;DR: Being uncircumcised and height of fever were associated with UTI in febrile infants who were ≤60 days of age and uncircumcised male infants were at particularly high risk and may warrant a different approach to screening and management.
Journal ArticleDOI
Epidemiology of Bacteriuria during the First Year of Life
TL;DR: Bacteriuria in boys was predominantly found early in infancy both with screening techniques and through symptomatic urinary tract infections.