Diagnosing Urinary Tract Infection in Young Febrile Children in the Emergency Department - PubMed
4 hours ago
- #Diagnostic Tools
- #Urinary Tract Infection
- #Pediatric Emergency Medicine
- The study validates UTICalc version 3.0 for predicting urinary tract infections (UTIs) in febrile children aged 2 to 24 months.
- UTICalc demonstrated strong diagnostic performance, particularly when combined with dipstick results, with an AUROC of 95.3%.
- At a 5% risk threshold, UTICalc showed 82.0% sensitivity and 73.8% specificity in the clinical model, improving to 94.0% sensitivity and 86.9% specificity with dipstick results.
- The tool did not outperform experienced clinicians but served as a useful adjunct for guiding urine testing decisions in pediatric emergency departments.
- The study included 2561 participants, with 4% diagnosed with UTIs, highlighting UTICalc's potential to streamline care and reduce unnecessary testing.