| Autor: |
Hanne Ann Boon, Jan Y Verbakel, Tine De Burghgraeve, Ann Van den Bruel |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
BJGP Open, Vol 6, Iss 2 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2398-3795 |
| DOI: |
10.3399/BJGPO.2021.0171 |
| Popis: |
Background: Diagnosing childhood urinary tract infections (UTIs) is challenging. Clinical prediction rules may help to identify children that require urine sampling. However, there is a lack of research to determine the accuracy of the scores in general practice. Aim: To validate clinical prediction rules (UTI Calculator [UTICalc], A Diagnosis of Urinary Tract Infection in Young Children [DUTY], and Gorelick score) for paediatric UTIs in primary care. Design & setting: Post-hoc analysis of a cross-sectional study in 39 general practices and two emergency departments (EDs). The study took place in Belgium from March 2019–March 2020. Method: Physicians recruited acutely ill children aged ≤18 years and sampled urine systematically for culture. Per rule, an apparent validation was performed, and sensitivities and specificities were calculated with 95% confidence intervals (CIs) per threshold in the target group. For the DUTY coefficient-based algorithm, a logistic calibration was performed and the area under the receiver operating characteristic curve (AUC) was calculated with 95% CI. Results: Of 834 children aged ≤18 years recruited, there were 297 children aged |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
