Diagnosing urinary tract infections in febrile infants and children: when evidence-based medicine and clinical practice collide.
The management of febrile pediatric patients is challenging, and the literature is replete with articles describing diverse diagnostic and therapeutic strategies. As many as 5% of infants and young children presenting with fever will be diagnosed with urinary tract infection. Many controversies exist concerning the management of these infections, the most important being: how to make the diagnosis. The financial and time costs of emergency department management must be balanced against the potential future costs of investigations and complications.
Spence
J
J
Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ross
J
J