July 2013. Volume 9. Number 2

Urinalisis could increase the performance of the NICE scale for the detection of severe infectious disease in children

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

De S, Williams GJ, Hayen A, Macaskill P, McCaskill M, Isaacs D, et al. Accuracy of the "traffic light" clinical decision rule for serious bacterial infections in young children with fever: a retrospective cohort study. BMJ. 2013;346:f8661.
Reviewers: Ortega Páez E1, Perdikidis Olivieri L2.
1CS Maracena. Distrito metropolitano. Granada. España.
2EAP Juncal. Torrejón de Ardoz. Madrid. España.
Correspondence: Eduardo Ortega Páez. Email: edortegap@gmail.com
Reception date: 10/05/2013
Acceptance date: 10/05/2013
Publication date: 29/05/2013

Abstract

Authors' conclusions: the NICE traffic light system for predicting severe infections in children with fever did not identify a significant proportion of these especially UTIs. The association with a urinalysis increased its utility.

Reviewers' commentary: the addition of leukocyte esterase and urinary nitrites to the NICE rule for predicting severe infections, increases its utility in 2.65% more severe infections detected. Taking into account the ease of the procedure and its low cost make it especially useful in Primary Care.

How to cite this article

Ortega Páez E. Perdikidis L. El análisis de orina podría mejorar el rendimiento de la escala NICE para la detección de infecciones graves en niños. Evid Pediatr. 2013;7:30.

AVC | Critically appraised articles

De S, Williams GJ, Hayen A, Macaskill P, McCaskill M, Isaacs D, et al. Accuracy of the "traffic light" clinical decision rule for serious bacterial infections in young children with fever: a retrospective cohort study. BMJ. 2013;346:f8661.
Reviewers: Ortega Páez E1, Perdikidis Olivieri L2.
1CS Maracena. Distrito metropolitano. Granada. España.
2EAP Juncal. Torrejón de Ardoz. Madrid. España.
Correspondence: Eduardo Ortega Páez. Email: edortegap@gmail.com
Reception date: 10/05/2013
Acceptance date: 10/05/2013
Publication date: 29/05/2013

How to cite this article

Ortega Páez E. Perdikidis L. El análisis de orina podría mejorar el rendimiento de la escala NICE para la detección de infecciones graves en niños. Evid Pediatr. 2013;7:30.

References

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29/05/2013

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