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Bag for UA?

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Note: controversies are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

Do you ever use bag collection to screen for UTI?

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pemsou5_wp • June 11, 2021

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  1. Kelly July 5, 2021 - 10:36 pm Reply

    The latest guidelines for febrile children 2-24 months recommend UA in males with high fevers. If I am going to screen but have a low index of suspicion for UTI (male > 6-12 months, no prior UTI), and the parent is hesitant to cath, would consider screening bag. If it’s totally negative, then no further testing. To me, the duration of fever w/o other source matters a lot, and we get a lot of kids brought in with high fevers 39-40, but just for a few hours. By AAP recs, these kids need UA’s, but they haven’t really had time to declare their source of fever.

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