European Journal of Molecular & Clinical Medicine

Abstract

UTI is a common source of bacterial infection among young febrile children
AIM :  To determine the validity of urinary tests in the diagnosis of urinary tract infection
METHODOLOGY : Febrile children from 2 years to 8 years. 
CONCLUSION: Dipstick leucocyte esterase and nitrite test was highly specific and accurate in detecting UTI as compared to dipstick leucocyte esterase, dipstick nitrite test and urine analysis. Dipstick leucocyte esterase and nitrite test showed the highest PPV wherea dipstick leucocyte esterase showed highest NPV. No test can screen accurately for UTI in young children. The urine dipstick plus culture tests appear to be the most cost-effective strategy for screening and beginning presumptive treatment for UTI in febrile young children.