Most Read Articles
21 Mar 2018
During the Kuala Lumpur International Neonatology Conference held in conjunction with the World Prematurity Day 2017, Dato Dr Musa Mohd Nordin spoke on the importance of immunizing children with the diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae type b (DTaP-IPV-Hib) vaccine. He highlighted the role of Hexaxim® as a fully liquid, ready-to-use, 6-in-1 (including hepatitis B) vaccine for the primary and booster vaccinations of infants and toddlers. Meanwhile, Dr Yong Junina Fadzil discussed the benefits of quadrivalent influenza vaccines (QIVs) in providing children with broader protection against influenza B viruses.

Bladder debris predicts positive urine culture in children

08 Feb 2018

In paediatric patients undergoing urological evaluation, the presence of bladder debris, regardless of severity, on ultrasound appears to predict a positive urine culture, a recent study has shown.

Researchers performed a retrospective review of 445 paediatric patients (mean age 5.8±4.1 years; 85 percent female), 20 percent of whom (n=87) tested positive for the urine culture. The overall rate of bladder debris was 22 percent (n=96).

Bladder debris was significantly more common in females, of whom 23 percent were positive. In comparison, only 12 percent of males had bladder debris (p=0.04).

Bladder debris was an acceptable predictive factor for positive urine culture, with a sensitivity and specificity of 52 and 86 percent, respectively. Almost half (47 percent) of those with bladder debris had positive urine cultures, significantly higher than the 12 percent of those without bladder debris (p<0.001).

The relative risk of a positive urine culture was significantly higher when bladder debris was present (3.90; 95 percent CI, 2.73–5.55). Despite a difference in the rate of bladder debris, males and females had statistically comparable rates of positive cultures. The presence of hydronephrosis (p=0.41) or vesicoureteral reflux (p=0.87) did not significantly alter the relationship between bladder debris and positive urine cultures.

In a subgroup analysis by degree, 40 participants were found to have severe bladder debris, 53 percent (n=21) of whom had positive urine cultures. In these patients, the sensitivity and specificity of bladder debris were 24 and 95 percent, respectively, while the relative risk of a positive urine culture was 3.22.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
21 Mar 2018
During the Kuala Lumpur International Neonatology Conference held in conjunction with the World Prematurity Day 2017, Dato Dr Musa Mohd Nordin spoke on the importance of immunizing children with the diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae type b (DTaP-IPV-Hib) vaccine. He highlighted the role of Hexaxim® as a fully liquid, ready-to-use, 6-in-1 (including hepatitis B) vaccine for the primary and booster vaccinations of infants and toddlers. Meanwhile, Dr Yong Junina Fadzil discussed the benefits of quadrivalent influenza vaccines (QIVs) in providing children with broader protection against influenza B viruses.