June 2025. Volume 21. Number 2

The absence of pyuria does not rule out febrile urinary tract infection in children under three years of age

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Shaikh N, Campbell E, Curry C, Mickles C, Cole E, Liu H, et al. Accuracy of screening tests for the diagnosis of urinary tract infections in young children. Pediatrics. 2024;154:e2024066600.

Reviewers: Pérez González E1, Esparza Olcina MJ2.
1Servicio de Pediatría. Hospital Universitario Virgen Macarena. Sevilla. España.
2Pediatra de Atención Primaria. Madrid. España.
Correspondence: Elena Pérez González. Email: pg.elena@gmail.com
Reception date: 27/05/2025
Acceptance date: 03/06/2025
Publication date: 11/06/2025

Abstract

Authors' conclusions: in febrile children of less than 36 months of age diagnosed with UTI by bladder catheterization, pyuria is not detected in the urine sediment in 20% of cases. Therefore, given the current sensitivity of available diagnostic tests, it is not necessary for diagnosis.

Reviewers' comments: in febrile infants and young children, the decision to initiate empirical treatment should not depend solely on the positive result of pyuria in the urine test.

How to cite this article

Pérez González E, Esparza Olcina MJ. La ausencia de piuria no descarta la infección urinaria febril en menores de tres años. Evid Pediatr. 2025;21:22.

AVC | Critically appraised articles

Shaikh N, Campbell E, Curry C, Mickles C, Cole E, Liu H, et al. Accuracy of screening tests for the diagnosis of urinary tract infections in young children. Pediatrics. 2024;154:e2024066600.

Reviewers: Pérez González E1, Esparza Olcina MJ2.
1Servicio de Pediatría. Hospital Universitario Virgen Macarena. Sevilla. España.
2Pediatra de Atención Primaria. Madrid. España.
Correspondence: Elena Pérez González. Email: pg.elena@gmail.com
Reception date: 27/05/2025
Acceptance date: 03/06/2025
Publication date: 11/06/2025

How to cite this article

Pérez González E, Esparza Olcina MJ. La ausencia de piuria no descarta la infección urinaria febril en menores de tres años. Evid Pediatr. 2025;21:22.

11/06/2025

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