Gorelick and Shaw developed a decision rule for when to screen a young girl for a urinary tract infection (UTI).
Patient selection: girl from 2 to 24 months of age
Parameters:
(1) age in months
(2) duration of fever in days
(3) race
(4) clinical source for fever
(5) temperature in °C
|
Parameter |
Finding |
Points |
|
age in months |
12 - 24 months |
0 |
|
|
2 - 11.99 months |
1 |
|
duration of fever |
< 2 days |
0 |
|
|
>= 2 days |
1 |
|
race |
non-Caucasian |
0 |
|
|
Caucasian (White) |
1 |
|
clinical source for fever |
evident |
0 |
|
|
none evident |
1 |
|
temperature |
< 39°C |
0 |
|
|
>= 39°C |
1 |
where:
• I would think that any clinical evidence of the urinary tract being the source of infection would also prompt urinalysis.
total risk score =
= SUM(points for all 5 factors)
Interpretation:
• minimum risk score: 0
• maximum risk score: 5
• A girl with a score >= 2 should have her urine screened for evidence of a UTI.
Specialty: Infectious Diseases, Urology
ICD-10: ,
