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Paper Chase #4 - Urine Testing in Infants with Bronchiolitis

Nate Finnerty, MD and Brett Ebeling, MD
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No me gusta!

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A significant number of febrile infants with bronchiolitis have a concurrent UTI.

 

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Heather M. -

Would you be sending cath urines on these infants with bronchiolitis? My understanding was bag urines have too many false positives due to skin contaminants?

Mike W., MD -

From Brett:
Thanks for the question! Yes, if I’m sending urine for an infant, it’s a cathed specimen; we’ve covered a few articles regarding this and I think the literature is clear, leg bags lead to way too many contaminated specimens and really can’t can’t be trusted to identify UTI. So unfortunately, these kids need a straight cath; at least until we have a better alternative available to us. Thanks so much for listening!

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Hippo Peds RAP - March 2020 Written Summary 305 KB - PDF

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