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The Uriscreen test was not better than standard urinalysis and dipstick tests for detecting urinary tract infection in children

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 QUESTION: Is the Uriscreen test better than standard urinalysis and dipstick tests for early detection of urinary tract infection (UTI) in children?

Design

Independent comparisons of Uriscreen, urinalysis, and dipstick tests with quantitative urine culture.

Setting

Emergency department of a children's hospital in Israel.

Participants

A random sample of 121 children (68% girls) who were 1 month to 17 years of age and who presented to the emergency department with symptoms of UTI. Symptoms for infants were fever with no apparent source, vomiting, decreased appetite, and irritability; for toddlers, abdominal pain and frequent voiding with or without fever; and for older children, dysuria, frequency, urgency, and abdominal or flank pain with or without fever. The exclusion criterion was use …

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