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.