Accuracy of absolute neutrophil count as a screening test for urinary tract infection among pediatric patients age 2 to 24 months

Publication Date

2015

Document Type

Research

Abstract

A cross-sectional criterion study. Pediatric patients between the ages of 2-24 months, diagnosed with urinary tract infection. Majority of the patients diagnosed with UTI were aged 2-6 months, with slight female predominance. Chief complaints were fever, vomiting, diarrhea, dysuria and seizure. Associated symptoms were poor feeding and irritability. Pyuria and bacteriuria were mostly seen, and only 1 patients had hematuria. Hematologic profile showed leukocytosis, increased segmenter counts and lymphocytosis. Band cells were found only in 80 (47.62%) patients. This study showed increased in the specificity of ANC when combined with pyuria and bacteriuria and a 100% specificity of ANC when combined with hematuria. However, the sensitivity and diagnostic accuracy of ANC and all other confounding variable were low.

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