I was always under the impression that RSV+ children have a low rate of SBI but still run the risk of UTI.
A colleague of mine is quoting a recent EMRAP episode which discourages checking the UA in bronchiolitis.
"What is the deal with urine testing in patients with bronchiolitis? This came from two studies.
• Kuppermann N et al. Risks for bacteremia and urinary tract infections in young febrile children with bronchiolitis.
Arch Pediatr Adolesc Med. 1997 Dec;151(12):1207-14. PMID: 9412595. He found a 2% prevalence of urinary tract infection with concomitant RSV.
• Levine DA et al. Risk of serious bacterial infection in young febrile infants with respiratory syncytial virus infections. Pediatrics. 2004 Jun;113(6):1728-34.
PMID: 15173498. Found a similar rate.
• However, this is similar to the baseline rate of culture-positive urine in asymptomatic children under the age of 3 years, randomly selected for testing. You don’t need to check the urine in febrile children with bronchiolitis."
What are everyone's thoughts?
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