Association of Malodorous Urine With Urinary Tract Infection in
Children Aged 1 to 36 Months Gauthier M et al. – Parental
reporting of malodorous urine increases the probability of
urinary tract infection (UTI) among young children being
evaluated for suspected UTI. However, this association is not
strong enough to definitely rule in or out a diagnosis of
UTI.Methods - The authors conducted a prospective consecutive
cohort study in the emergency department of a pediatric hospital
from July 31, 2009 to April 30, 2011. - All children aged
between 1 and 36 months for whom a urine culture was prescribed
for suspected UTI (ie, unexplained fever, irritability, or
vomiting) were assessed for eligibility. - A standardized
questionnaire was administered to the parents by a research
assistant. - Three hundred ninety-six children were initially
enrolled, but 65 were excluded a posteriori either because a
urine culture, although prescribed, was not done (11), was
collected by bag (39), and/or showed gross contamination (