Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

How to diagnose urinary tract infections (UTI) in the under fives

15.12.2004


How to diagnose urinary tract infections (UTI) in the under fives is the focus of the latest issue of EFFECTIVE HEALTH CARE.
UTI is common in children. Around 6.3% of girls and 2.4% of boys will be referred with UTIs by the age of five years. Children who are misdiagnosed can either fail to receive appropriate treatment or receive unnecessary treatment and investigation.

Good management involves prompt diagnosis, rapid treatment and the detection of any underlying cause that might lead to further infections or long-term renal damage.


A systematic review of the research evidence has shown that:

  • Urine dipstick tests can be used to guide initial diagnosis. For UTIs in children the most useful dipstick tests are leucocyte esterase (LE) and nitrite. The evidence showed that if these two particular tests were positive, (nitrite and leukocyte esterase (LE)) then there was a very high likelihood of a UTI.
  • Further investigations for UTI can be unpleasant and carry risks as they generally involve catheterization and/or radiation (distressing for children and parents/guardians). It has been shown that if the urine dipstick tests for both LE and nitrite are negative, or microscopic analysis is negative for an infection, the need for further investigation for UTI can be avoided.
  • Only children with a recurrent UTI should be considered for further investigation.
  • There is no evidence to support ‘routine’ imaging of children with UTI; requests for imaging should be made by clinicians on an individual child basis in full consultation with the parents/guardians.

Further information about this issue of Effective Health Care can be obtained from Alison Booth or Paul Wilson, Tel: 01904 321040, Fax 01904 321041.

Paul Wilson | alfa
Further information:
http://www.york.ac.uk/inst/crd

More articles from Health and Medicine:

nachricht New discoveries predict ability to forecast dementia from single molecule
12.12.2018 | UT Southwestern Medical Center

nachricht Pain: Perception and motor impulses arise in the brain independently of one another
12.12.2018 | Technische Universität München

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Lethal combination: Drug cocktail turns off the juice to cancer cells

A widely used diabetes medication combined with an antihypertensive drug specifically inhibits tumor growth – this was discovered by researchers from the University of Basel’s Biozentrum two years ago. In a follow-up study, recently published in “Cell Reports”, the scientists report that this drug cocktail induces cancer cell death by switching off their energy supply.

The widely used anti-diabetes drug metformin not only reduces blood sugar but also has an anti-cancer effect. However, the metformin dose commonly used in the...

Im Focus: New Foldable Drone Flies through Narrow Holes in Rescue Missions

A research team from the University of Zurich has developed a new drone that can retract its propeller arms in flight and make itself small to fit through narrow gaps and holes. This is particularly useful when searching for victims of natural disasters.

Inspecting a damaged building after an earthquake or during a fire is exactly the kind of job that human rescuers would like drones to do for them. A flying...

Im Focus: Topological material switched off and on for the first time

Key advance for future topological transistors

Over the last decade, there has been much excitement about the discovery, recognised by the Nobel Prize in Physics only two years ago, that there are two types...

Im Focus: Researchers develop method to transfer entire 2D circuits to any smooth surface

What if a sensor sensing a thing could be part of the thing itself? Rice University engineers believe they have a two-dimensional solution to do just that.

Rice engineers led by materials scientists Pulickel Ajayan and Jun Lou have developed a method to make atom-flat sensors that seamlessly integrate with devices...

Im Focus: Three components on one chip

Scientists at the University of Stuttgart and the Karlsruhe Institute of Technology (KIT) succeed in important further development on the way to quantum Computers.

Quantum computers one day should be able to solve certain computing problems much faster than a classical computer. One of the most promising approaches is...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

ICTM Conference 2019: Digitization emerges as an engineering trend for turbomachinery construction

12.12.2018 | Event News

New Plastics Economy Investor Forum - Meeting Point for Innovations

10.12.2018 | Event News

EGU 2019 meeting: Media registration now open

06.12.2018 | Event News

 
Latest News

New discoveries predict ability to forecast dementia from single molecule

12.12.2018 | Health and Medicine

CCNY-Yale researchers make shape shifting cell breakthrough

12.12.2018 | Physics and Astronomy

Pain: Perception and motor impulses arise in the brain independently of one another

12.12.2018 | Health and Medicine

VideoLinks
Science & Research
Overview of more VideoLinks >>>