UMEM Educational Pearls

Category: Pediatrics

Title: Do older infants with fever and diarrhea need a UA and culture?

Keywords: fever, diarrhea, urinary tract infection (PubMed Search)

Posted: 12/16/2016 by Jennifer Guyther, MD (Updated: 6/13/2024)
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After 4 months old, the answer MAY be no.


80 children between 4 months and 6 years of age with fever > 101 degress F and watery stools (> 3 episodes) were evaluated for hydration status using urine samples.  The urine was collected either by catheterization or clean catch, depending on age.  All urine cultures were negative.


Nibhanipudi KV.  A Study to determine the Incidence of Urinary Tract Infections in Infants and Children Ages 4 months to 6 Years with Febrile Diarrhea.  Glob Pediatr Health. 2016. Published online Sept 12, 2016.