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May 2nd, 2012 posted by Paul Rega, MD, FACEP May 2, 2012 @ 4:47 am

If your kid’s pee smells, does that mean a UTI?

Association of Malodorous Urine With Urinary Tract Infection in Children Aged 1 to 36 Months
Marie Gauthier, Serge Gouin, Veronique Phan, and Jocelyn Gravel
Pediatrics 2012;129 885-890
http://pediatrics.aappublications.org/cgi/content/abstract/129/5/885?etoc

Does parental reporting of malodorous urine indicate a  urinary tract infection (UTI) in a child?

 331 children studied.
Their median age was 12 months (range, 1–36).
Criteria for UTI were fulfilled in 51 (15%). A malodorous urine was reported by parents in 57% of children with UTI and in 32% of children without UTI. On logistic regression, malodorous urine was associated with UTI (odds ratio 2.83, 95% confidence interval: 1.54–5.20).
This association remained statistically significant when adjusted for gender and the presence of vesicoureteral reflux (odds ratio 2.73, 95% confidence interval: 1.46–5.08).

Parental reporting of malodorous urine increases the probability of UTI among young children being evaluated for suspected UTI.



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