Attia Bari, Sara Saeed, Humera Javed, Fazaila Jabeen, Muhammad Mahd Alvi, Aizza Zafar.
Clinical Utility and Accuracy of UTI Calculator for Estimating the Probability of Urinary Tract Infection in Young Febrile Children.
Pak Paed J Jan ;45(4):405-10.

Objective: To analyze the prediction of urinary tract infection (UTI) by UTI Calculator (UTI Calc) taking urine culture sensitivity (C/S) results as indices of UTI in children aged >2 month- 24 months. Study Design: Descriptive cross-sectional study Place and Duration of Study: This study was conducted at the Department of Pediatric Medicine, The Children`s Hospital & the Institute of Child Health, Lahore from January 2019 to December 2019. Material and Methods: A total of 75 admitted children 2 months to <2 years of age with fever >38oC were included. We excluded children who had taken oral or injectable antibiotic. Prediction of UTI was made by using online UTI Calc. Results: Prevalence of UTI in febrile infants was 9%. The mean age was 9.8 +- 6.8 months with slight male preponderance 40 (53%). In 50 (67%) the clinical UTI probability was high and with urine examination reports the UTI probability was high in only 8 (11%). Urine culture was positive in 7 (9%) and E. coli was the predominant organism 4 (5%). Urine culture positivity with clinical prediction alone was low (p=0.132) but was strongly associated with urine probability prediction (p=<0.001). Sensitivity and specificity of UTI Calc in detecting UTI was 100% and 97% respectively. Conclusion: UTI calc is an excellent online tool in predicting urinary tract infection in young febrile children.

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