Are antibiotics necessary for XXXX ?

@entity1 @entity4658 @entity697 @entity3892 @entity4806 @entity11570 @entity293
OBJECTIVES: To determine the percentage of cases of @entity3892 in @entity4806 @entity1 that is of bacterial cause and to identify factors that predict a positive urine culture. METHODS: We conducted a retrospective chart review of @entity1 diagnosed with @entity697 or @entity11570 in 1 @entity4806 emergency department for 11 years. Charts were reviewed for historical, physical, laboratory, and radiologic data. A positive urine culture was used to identify @entity1 with a bacterial cause of @entity3892 . RESULTS: A total of 160 @entity1 records were initially identified as having a diagnosis of @entity3892 ; of these, 20 met exclusion criteria or did not have records available for review and 140 cases of @entity3892 were reviewed. @entity1 ' age ranged from 2 months to 17 years, with a median age of 11 years. Of these @entity1 , 91% received empiric antibiotic therapy. Also, of these @entity1 , 97 (69%) had a urine culture sent, of whom 4 (4.1%; 95% confidence interval, 1.1%-10.2%) were positive. Of the 4 positive urine cultures, 3 had organisms not sensitive to usual empiric therapy for @entity293 . The @entity1 with positive urine cultures were not significantly different from the other @entity1 in age, maximum temperature, or number of white blood cells on urinalysis. CONCLUSIONS: Given the low incidence of @entity293 in @entity1 with @entity3892 , in prepubertal patients, antibiotic therapy can be reserved for young @entity1 and those with @entity4658 or positive urine cultures. Because it is difficult to predict which @entity1 will have a positive urine culture, urine cultures should be sent on all @entity4806 @entity1 with @entity3892 .
