Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon
Research
Urine Testing for the Detection of Urinary Tract Infections in Febrile Pediatric Cancer Patients Presenting to the ED
Author(s): Imad El Majzoub, Rola Cheaito, Hani Tamim, Ola El Kebbi, Sarah Abdul Nabi, Mohamed Elsakati, Mahmood Kishta, Mazen Naeim, Abulla Mohamed Almarzooqi and Rasha D. Sawaya*
Introduction: Urinary Tract Infections (UTIs) are prevalent in pediatric cancer patients, but usually present vaguely,
with non-localizing signs and symptoms (i.e., with fever but without urinary symptoms), especially in the setting
of febrile neutropenia, rendering the diagnosis challenging. There is still much controversy when it comes to the
indications of urine testing in pediatric cancer patients presenting with fever, but without urinary signs or symptoms.
Objectives: Our aim was to determine the value of obtaining a Urine Culture (UC) in pediatric cancer patients
presenting with fever only, as well as to evaluate the diagnostic performance of a Urine Analysis (UA) in this group.
Methods: This was a retrospective cohort study conducted on asymptomatic pediatric cancer patients presenting to
our Eme.. View more»