Always get culture in symptomatic children with neurogenic bladder

In children needing CIC for neurogenic bladder, growth of Enterococcus species on urine culture was linked with lower odds of both microscopic pyuria (0.44) and leukocyte esterase (0.45).

“With these results, we suggest that the current markers of UTI evidenced on urinalysis and urine microscopy are insufficient for predicting bacteriuria in this population,” Dr. Forster and her colleagues said, leading to their recommendation to perform a culture in symptomatic children with neurogenic bladders irrespective of urinalysis results.

Dr. Forster received a research grant from the National Institutes of Health. The investigators said they had no relevant conflicts of interest.

SOURCE: Forster CS et al. Pediatrics. 2018;141(5):e20173006.