Diagnosing Urinary Tract Infection in Young Febrile Children in the Emergency Department

In this cohort study of 2561 febrile children aged 2 to 24 months presenting to the ED, UTICalc showed strong diagnostic performance, especially with dipstick results. While it did not outperform experienced clinicians, it offered a useful, evidence-based adjunct for guiding urine testing decisions, supporting efficient care in the pediatric ED.

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Publication Details

Journal
JAMA Network Open
Published
2026-03-13
DOI
https://doi.org/10.1001/jamanetworkopen.2026.1741
Primary Topic
Pediatric Urology and Nephrology Studies
Type
article
Field-Weighted Citation Impact
0.00

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article

Diagnosing Urinary Tract Infection in Young Febrile Children in the Emergency Department

Naveen Poonai, Tyrus Crawford, Samina Ali, Bruce Wright et al.
JAMA Network Open
Pediatric Urology and Nephrology Studies
article

Diagnosing Urinary Tract Infection in Young Febrile Children in the Emergency Department

Naveen Poonai, Tyrus Crawford, Samina Ali, Bruce Wright, Ceilidh Kinlin, Vikram Sabhaney, Andrea Eaton, Jocelyn Gravel, Ramona Cook, Natasha Wills-Ibarra, Maala Bhatt, Nick Barrowman, Vid Bijelik, Nader Shaikh, Roger Zemek, Gabrielle Christine Freire, Henry  Li
article en

Abstract

In this cohort study of 2561 febrile children aged 2 to 24 months presenting to the ED, UTICalc showed strong diagnostic performance, especially with dipstick results. While it did not outperform experienced clinicians, it offered a useful, evidence-based adjunct for guiding urine testing decisions, supporting efficient care in the pediatric ED.

JAMA Network OpenVol. 9(3)
University of Ottawa (CA), University of Pittsburgh (US), Children's Hospital of Eastern Ontario (CA), Centre Hospitalier Universitaire Sainte-Justine (CA), Research Canada (CA)
University of Ottawa, Public Health Agency of Canada, CHEO Research Institute, Ontario Neurotrauma Foundation, Public Health Agency, Canada First Research Excellence Fund, Health Canada, Canadian Institutes of Health Research
Good health and well-being
Openalex Percentile: Top 23%
Pediatric Urology and Nephrology Studies
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