The authors and Dr. Hain reported no conflicts of interest. Printing of the poster was funded by a Thrasher Research Fund Early Career Award.
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Think Urine When Testing for Concurrent Infection in Pediatric Bronchiolitis
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'Wasteful' and 'Harmful'
The ABIM Foundation has embarked on a "Choosing Wisely" campaign to identify five tests and procedures in each field of medicine whose necessity should be questioned. Blood cultures and urine testing are key candidates in the field of pediatrics.
 Dr. Kevin Powell |
Researchers Dr. M. Olivia Titus and Dr. Seth W. Wright (Pediatrics 2003;112:282-84) could barely justify urine testing in the febrile 4-week-old with respiratory syncytial virus (RSV), much less blood taking cultures. The widespread use of those tests in infants with clinical bronchiolitis who are older that 8 weeks of age, as is well documented in this new study, appears to be wasteful, even harmful.
Dr. Kevin Powell is with the department of pediatrics at St. Louis University and a pediatric hospitalist at SSM Cardinal Glennon Children’s Medical Center in St. Louis. He reports having no relevant conflicts of interest.
AT THE PEDIATRIC HOSPITAL MEDICINE 2012 MEETING