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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!
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July 5, 2021 at 10:36 pm
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.