Advanced Search
Current and Breaking News for Professionals, Consumers and Media

Click here to learn how to advertise on this site and for ad rates.

Children's Health Author: Staff Editor Last Updated: Jan 10, 2013 - 12:18:08 PM

Urinary Tract Infection Testing for Feverish Babies Can Wait

By Staff Editor
Jan 10, 2013 - 12:14:32 PM

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Ezine
For Email Marketing you can trust

Email this article
 Printer friendly page

( - WASHINGTON - Aggressive testing of feverish children under the age of two to rule out urinary tract infections may not be necessary, which contradicts the current standard of care for these small emergency patients.  A literature review published yesterday in Annals of Emergency Medicine goes so far as to suggest that aggressive testing in the ER - the current standard of care - may do more harm than good ("Pediatric Urinary Tract Infection: Does the Evidence Support Aggressively Pursuing the Diagnosis?") .

"We found only two small studies that support aggressive testing for urinary tract infections (UTIs) in febrile infants to prevent long-term kidney problems, while the rest of the medical literature has been unable to link UTIs to these complications," said lead author David Newman, MD, of the Mount Sinai School of Medicine in New York, NY. ""Bladder catheterization is painful, invasive and stressful and has the potential to cause infection. We could not find sufficient justification for doing it in our review, particularly in view of the considerable negative effects."

Aggressive testing in infants for UTIs has been justified in order to prevent and/or treat urosepsis. However, Dr. Newman and his team found data suggesting that urosepsis in the pediatric population is rare, generally less life-threatening than other types of sepsis, and typically limited to a well-defined population of newborns with congenital anomalies.

Aggressive testing in infants has also been justified to prevent kidney infection and subsequent scarring.  Dr. Newman and his team found no evidence supporting the notion that kidney scarring results in clinically significant long-term kidney dysfunction.

"Since vaccine advances, rates of pediatric bacteremia, meningitis and related sepsis have decreased dramatically, and pediatric urosepsis remains exceedingly rare," said Dr. Newman. "We recommend re-examining the guidelines that recommend aggressive testing of feverish infants for UTIs, as we could not find long-term justification for it. Watching and waiting may be a better approach than putting babies - and their parents - through the discomfort of catheterization."

Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, the national medical society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research, and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. For more information visit

# # #

For advertising and promotion on contact Mike McCurdy at: [email protected]  or call 877-634-9180. We are syndicated worldwide and read in 164 countries. We also have over 7,000 journalists as subscribers who may use our content for their own media!


Top of Page

Children's Health
Latest Headlines

+ Safe Infant Sleep Tips For Grandparents
+ Better Definition Needed for Reasonable Medical Certainty in Child Abuse Cases
+ ‘A Word's Worth More Than a Thousand Pictures’
+ Unique Summer Camp for Children Who Use Computers to Communicate
+ Baby Hears Parents' Voices for the First Time (watch video)
+ Significant Cognitive Impairment in Adult Survivors of Childhood Brain Tumors
+ Achoo! Now, When Kids Cough and Sneeze Into Their Arms It’s Not So Gross
+ Five Easy Tips To Save Parents Worry And Anguish Over Head Lice
+ First Mom-Baby Patient Safety Center Planned By March Of Dimes
+ Infants With Spinal Muscular Atrophy

Contact Us | Job Listings | Help | Site Map | About Us
Advertising Information | HND Press Release | Submit Information | Disclaimer

Site hosted by Sanchez Productions