Skip to main content
. 2019 Jan 28;173(3):269–277. doi: 10.1001/jamapediatrics.2018.5091

Table 1. Bronchiolitis Studies Reporting the Prevalence of Concomitant UTI That Do Not Report Urinalysis Data.

Source, Year Type of Study Age Inclusion Criteria Fever Required Exclusion Criteria UTI Definition
Kuppermann et al,27 1997 Prospective cohort <90 d Clinical bronchiolitis Yes: temperature ≥38°C in ED Infants with vaccination or antibiotics within 48 h or presentation, focal bacterial infection, identifiable viral infection, chronic illness or immunodeficiency, and immunosuppression >10 000 cfu/mL of a single pathogen on catheterized specimen
Liebelt et al,28 1999 Retrospective medical record review <90 d Clinical bronchiolitis No: 42% documented febrile ≥38°C History of bronchopulmonary dysplasia, immunodeficiency, complex congenital heart disease, and other bacterial or viral infections >10 000 cfu/mL of a single pathogen on catheterized specimen or >1000 cfu/mL of gram-positive coccus on SPA or any cfu/mL of a gram-negative rod on SPA
Purcell and Fergie,31 2002 Retrospective medical record review All ages RSV+ only No: fever not specified None stated Positive urine culture
Titus and Wright,34 2003 Retrospective cohort <8 wk RSV+ only Yes: temperature ≥38°C documented in medical record Infants with congenital heart disease, bronchopulmonary dysplasia, neurologic disorders, metabolic disorders, hematologic abnormalities, and significant medical history Positive urine culture
Oray-Schrom et al,2 2003 Retrospective medical record review <90 d RSV+ only Yes: temperature ≥38°C None stated >10 000 cfu/mL of a single pathogen on catheterized specimen
Levine et al,37 2004 Prospective cross-sectional study <60 d RSV+ only Yes: rectal temperature ≥38°C in ED or by history Infants who had received antibiotics within 48 h of presentation >50 000 cfu/mL of a single pathogen or >10 000 cfu/mL of a single pathogen and a positive urinalysis on catheterized specimen or >1000 cfu/mL of a single pathogen by SPA
Purcell and Fergie,3 2004 Retrospective medical record review All ages RSV+ only No: temperature ≥38°C in 68% of cohort None stated Any cfu/mL on a SPA or >10 000 cfu/mL of a single pathogen on a catheterized specimen
Bilavsky et al,25 2008 Prospective cohort <90 d Clinical bronchiolitis Yes: rectal temperature ≥38°C in hospital Infants with chronic disease, <32 wk gestation, afebrile, or who had received antibiotics within 48 h of presentation Positive urine culture of any growth of a known pathogen obtained by SPA, catheterization, or midstream-collection
García et al,36 2010 Retrospective medical record review <2 y Clinical bronchiolitis No: fever not specified None stated Positive urine culture
Yarden-Bilavsky et al,35 2011 Prospective observational <90 d Clinical bronchiolitis Yes: rectal temperature ≥38°C Infants with chronic disease, <32 wk gestation, or who had received antibiotics within 48 h of presentation Positive urine culture of any growth of a known pathogen obtained by SPA, catheterization, or midstream-collection
Librizzi et al,38 2014 Retrospective medical record review <24 mo Clinical bronchiolitis No: 58% of cohort with fever at or during admission (temperature undefined) ICU admission >10 000 cfu/mL of a single pathogen on catheterized specimen

Abbreviations: CFU, colony-forming unit; ED, emergency department; ICU, intensive care unit; RSV, respiratory syncytial virus; SPA, suprapubic aspiration; UTI, urinary tract infection.