Shaikh et al developed several algorithms for identifying young children with urinary tract infections (UTI). A verbal child more than 24 months of age who may have a urinary tract infection can be identified based on clinical and laboratory findings. The authors are from the University of Pittsburgh, Ohio State University, Duquesne University and the University of Wisconsin.
Parameters:
(1) gender group
(2) number of clinical findings for urinary tract infection
(3) results of urinalysis (nitrite and leukocyte esterase on dipstick testing)
Gender
Group
female or uncircumcised male
1
circumcised male
2
Clinical findings for a UTI include:
(1) dysuria
(2) frequency
(3) abdominal pain
(4) back pain
(5) new onset of incontinence
Gender Group
Number of Risk Factors
Urinalysis
Probability of UTI
1
0
NA
unlikely
1
>=1
neither positive
4-8%
1
>=1
one positive
60-70%
1
>=1
both positive
86-92%
2
0 or 1
NA
very low
2
>=2
neither positive
low
2
>=2
one positive
moderate
2
>=2
both positive
high
To read more or access our algorithms and calculators, please log in or register.
