The Need for Improved Detection of Urinary Tract Infections in Young Children
| Autor: | T. Ernesto Figueroa, Lynn L. Woo, Tracy E. Bunting-Early, Christopher S. Cooper, Nader Shaikh |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty diagnosis Urinary system prevalence Population detection Delayed Testing Urine Logistic regression Delayed diagnosis 03 medical and health sciences 0302 clinical medicine survey research 030225 pediatrics medicine pediatricians 030212 general & internal medicine Fever of unknown origin education Original Research young children fever education.field_of_study business.industry Qualitative interviews medicine.disease 3. Good health Pediatrics Perinatology and Child Health urinary tract infections business |
| Zdroj: | Frontiers in Pediatrics |
| ISSN: | 2296-2360 |
| DOI: | 10.3389/fped.2017.00024 |
| Popis: | Background and objectives An estimated 400,000 urinary tract infections (UTIs) are diagnosed annually in children aged 50% of febrile UTIs may be missed in this population. Here, we explored possible barriers to diagnosing febrile UTIs in very young children through social research of community pediatricians. Methods Following qualitative interviews, a quantitative survey was developed that included a high-risk case for febrile UTI, presented before prompting for the topic of the survey, to gauge practice of delayed testing. Factors associated with delay were explored using univariate logistic regression. The final survey link was sent to three populations via email, with the largest response from a survey sent to pediatricians in Pennsylvania, which formed the basis of our primary results. Results Of the 218 evaluable responses, 59.6% of physicians would initially test urine in the high-risk case patient, while 21.6% would choose to continue fever reducer and follow-up in 2 days. In the knowledge-based questions, 67.5, 34.0, and 35.6% of respondents identified the correct prevalences in total population, Caucasian girls, and uncircumcised boys, respectively. Many pediatricians (59.5%) believed that delays in detection are common in clinical practice. Physicians who chose to delay testing were more likely to be female, in practice for |
| Databáze: | OpenAIRE |
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