Abstract:
:The authors compared dipstick tests for leukocyte esterase and nitrite and microscopic examination of urinary sediment with urine culture to assess whether the former tests could reliably rule out bacteriuria in specimens from children. The authors studied urine specimens from 1010 infants and children younger than age 18. Compared with culture at greater than or equal to 10(5) colony forming units (cfu)/ml, the sensitivities of leukocyte esterase, nitrite, and microscopic examination of white blood cells (greater than or equal to 5 wbc/hpf) or bacteria (in at least moderate numbers) were 76 percent, 29 percent, 82 percent, and 80 percent, respectively. The specificities of the same tests were 81 percent, 99 percent, 81 percent, and 83 percent, respectively. Compared with culture at greater than or equal to 10(4) cfu/ml, the sensitivities of the tests were 64 percent, 21 percent, 64 percent, and 59 percent; the specificities were 82 percent, 99 percent, 81 percent, and 83 percent, respectively. The negative predictive values of leukocyte esterase and microscopic examinations of urinary sediment for white blood cells and bacteria were all 95 percent (greater than or equal to 10(4) cfu/ml) or 98 percent (greater than or equal to 10(5) cfu/ml). The authors conclude that the leukocyte esterase test is as accurate as sediment microscopy in identifying urine specimens from infants and children harboring less than 10(4) or less than 10(5) cfu/ml.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Goldsmith BM,Campos JMdoi
10.1177/000992289002900402subject
Has Abstractpub_date
1990-04-01 00:00:00pages
214-8issue
4eissn
0009-9228issn
1938-2707journal_volume
29pub_type
杂志文章abstract:OBJECTIVE:To describe the incidence of bilious vomiting in infants with infantile hypertrophic pyloric stenosis that presented to a pediatric emergency department. METHODS:A retrospective medical record review included all infants who presented to our level 1 pediatric emergency department from January 1, 2005, throug...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811431159
更新日期:2012-03-01 00:00:00
abstract::We sought to determine if a simple educational intervention initiated at the first well-child care visit, with reinforcement at subsequent visits, can improve inner-city infant immunization rates. We conducted a controlled trial involving 315 newborn infants and their primary caregivers in 3 inner-city primary care ce...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/000992280104000701
更新日期:2001-07-01 00:00:00
abstract::Narcolepsy is a rare neurologic sleep disorder with morbidity associated with functional impairment and frequent delay in diagnosis. Symptoms typically manifest in adolescence or early adulthood, but diagnosis of narcolepsy has been reported in early childhood. Diagnosis rates are as low as 50% of the total population...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280604500409
更新日期:2006-05-01 00:00:00
abstract::Telemedicine has been shown to be effective for rural populations, but little is reported on pediatric obesity care via telemedicine in urban settings. This study aims to assess feasibility and acceptability of multidisciplinary pediatric obesity care via telemedicine within the same metropolitan area in terms of info...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815594359
更新日期:2016-03-01 00:00:00
abstract::Nephrotic syndrome (NS) is one of the most common causes of chronic kidney disease in children. Mostly, NS is controlled by steroids. In spite of this, 10% to 20% of the patients have steroid resistant NS (SRNS), and the rest have steroid sensitive NS (SSNS). Eighty-seven children with NS (66 SSNS; 21SRNS) were retros...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816645521
更新日期:2017-02-01 00:00:00
abstract::We examined whether gastrointestinal (GI) symptoms were associated with sleep disturbances in a community-based sample of 337 school-aged children from Ypsilanti, Michigan. Parents completed the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire and the Conners' parents rating scale, which inc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818787858
更新日期:2018-11-01 00:00:00
abstract::Three infants who presented with premature rupture of membranes and neonatal pneumonia caused by organisms belonging to members of the B. fragilis group are reported. In all 3 instances, the organisms were recovered from tracheal aspirates and in 2 from blood cultures as well. Two of the newborns, treated with ampicil...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900807
更新日期:1980-08-01 00:00:00
abstract::Neurological complications of systemic lupus erythematosus (SLE) are relatively common, but isolated chorea as the initial manifestation of SLE is very rare. We report a 10-year-old girl presenting with chorea, who developed clinical and laboratory findings of SLE 10 months after the onset of chorea. In this case, mil...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300514
更新日期:1984-05-01 00:00:00
abstract::Infants with extracardiac anomalies or malformation syndromes frequently have associated cardiovascular malformations. Knowledge of these predictable patterns of associations allow rapid diagnosis and treatment of these infants. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300303
更新日期:1984-03-01 00:00:00
abstract::Child psychiatric consultants perform psychiatric assessment and liaison among various clinical services. Execution of these familiar roles for pediatric liver transplantation recipients exposes unfamiliar and difficult bioethical problems. Administrative problems arise if the recipient's suitability is too narrowly e...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600207
更新日期:1987-02-01 00:00:00
abstract::Propionic acidemia (PA) is one of the most frequent organic acidurias, but information on the outcome of individuals with PA is rather limited. We present data of 49 patients with PA, which were gathered from 18 metabolic centers throughout Central Europe on the occasion of an international workshop. All patients were...
journal_title:Clinical pediatrics
pub_type:
doi:10.1177/000992280404300908
更新日期:2004-11-01 00:00:00
abstract::The rectal-axillary temperature difference (R-A) was measured in the morning, at midday, and in the afternoon on 1,519 occasions in 1,149 children from birth to 5 years old. Of these, 302 children were febrile (rectal temperature > or = 38 degrees C) and 847 were afebrile. A wide range in R-A was found for each indivi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200503
更新日期:1993-05-01 00:00:00
abstract::A required PL-3 rotation in community pediatrics, including assignments to preschool and school settings, private pediatric offices, and in-hospital responsibilities, is described. A university-affiliated community hospital provides the organizational base for the program. After 14 PL-3 rotations, analysis of program ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000403
更新日期:1981-04-01 00:00:00
abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807312184
更新日期:2008-06-01 00:00:00
abstract::An eight-year-old boy developed staphylococcal endocarditis. He was treated initially with nafcillin and gentamicin, but he remained febrile. The minimum bactericidal concentration (MBC) of nafcillin was 130 times the minimum inhibitory concentration (MIC). Following the addition of rifampin to the antibiotic regimen,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100414
更新日期:1982-04-01 00:00:00
abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802701203
更新日期:1988-12-01 00:00:00
abstract::Seroprevalence of hepatitis B virus markers was examined in employees participating in patient care at The Children's Mercy Hospital in Kansas City, Missouri. Of 377 workers tested in 1985-86, 36 (9.6%) were seropositive for any marker. Among 285 employees who presumably have only work-related hepatitis B exposure, 14...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800601
更新日期:1989-06-01 00:00:00
abstract::Rickets as a definite disease manifesting itself by a more or less constant association of symptoms was first described in 1645 by Daniel Whistler, as English physician. However, the disease must have existed years before Dr. Whistler's report, as is evident in the painting by Hans Burgkmair completed in 1509. ...
journal_title:Clinical pediatrics
pub_type: 传,历史文章,杂志文章
doi:10.1177/000992288001900305
更新日期:1980-03-01 00:00:00
abstract:INTRODUCTION:The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pedia...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922816688261
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention. METHODS:Each month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during the...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813488646
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To describe the time and actions on 3 key health topics during health supervision (HS) visits of children aged 0 to 1 years. METHOD:HS visits were observed at 5 offices. Parents provided demographics and children's measurements were obtained. Using special computer software, visits were observed for frequenc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809337530
更新日期:2009-11-01 00:00:00
abstract::The use of totally implantable central venous catheters with reservoirs has grown steadily over the past few years. These systems mitigate many of the inherent problems associated with catheter systems that protrude from the skin. Totally implantable systems are easily cared for and permit activities such as swimming....
journal_title:Clinical pediatrics
pub_type: 信件
doi:10.1177/000992289303200515
更新日期:1993-05-01 00:00:00
abstract::Bullying is a serious issue for adolescents, with health consequences both at the time of victimization and later on in adulthood. Aggression in the media is an area that has been explored as a contributing factor to bullying behavior. This study aims to determine if the incidence of aggression in popular television s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815614353
更新日期:2016-10-01 00:00:00
abstract::We reviewed 74 outpatient febrile episodes in 22 pediatric heart transplant patients in order to determine etiologies, rates of serious and nonserious illness, and factors predictive of serious disease. Twenty-two febrile episodes (30%) resulted in hospital admission. Only three variables were predictive of serious il...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500902
更新日期:1996-09-01 00:00:00
abstract::Mycoplasma pneumoniae is a common cause of upper and lower respiratory tract infections of varying severity. It is also responsible for producing a wide spectrum of nonpulmonary manifestations including neurologic, hepatic, cardiac, and hematologic diseases. The neurologic manifestations are reported to be the most co...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280003900401
更新日期:2000-04-01 00:00:00
abstract::An acutely ill 4-year-old girl with Rocky Mountain spotted fever (RMSF) was found to have a coagulation inhibitor. This child had no serious bleeding manifestations and minimal hemorrhagic skin manifestations despite severe RMSF, concurrent thrombocytopenia, as well as the coagulation inhibitor. Hemostatic abnormaliti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600905
更新日期:1987-09-01 00:00:00
abstract::Ninety low socioeconomic adolescent females (aged 16-22 years, means 18.6 years) were screened for rubella immunity using a rubella IgG enzyme immunoassay. Data concerning past immunizations (with documentation, if possible), prior rubella disease, and previous pregnancies were gathered through direct interviews. Resu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400705
更新日期:1985-07-01 00:00:00
abstract::This study assessed the impact of respiratory syncytial virus-confirmed hospitalizations (RSVH) on caregivers of high-risk preterm infants. Caregivers for infants born at 29 to 35 weeks' gestational age and hospitalized for confirmed RSV disease responded to measures of self-rated and perceived infant stress (1-7; 7 =...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819843639
更新日期:2019-07-01 00:00:00
abstract::Family health history (FHH) can identify families at increased risk for disease. Purpose. To learn mothers' (1) perceptions of the benefits of FHH and (2) willingness to complete a FHH tool, My Family Health Portrait (MFHP). Methods. Qualitative in-depth interviews were conducted with mothers recruited through Cincinn...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812467531
更新日期:2013-01-01 00:00:00
abstract::In a review of 17 adolescents and children (excluding newborns) with definite clinical signs, symptoms, and laboratory findings of hypothyroidism, 11 patients (65%) had anemia. The mean corpuscular volume (MCV) of the red blood cells was either macrocytic or normocytic. The hemoglobin did not correlate with the serum ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102001102
更新日期:1981-11-01 00:00:00