{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T14:49:31Z","timestamp":1771858171491,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,2,3]],"date-time":"2016-02-03T00:00:00Z","timestamp":1454457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to describe clinical and laboratory characteristics of urinary tract infection (UTI) without significant pyuria in young children aged 2\u201324 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The subjects consisted of infants and young children with febrile UTI treated at Pusan National University Children's Hospital, Korea. Group A included 283 patients with definite UTI who fulfilled the revised American Academy of Pediatrics diagnostic criteria, and group B included 19 patients with presumed UTI who had significant culture of uropathogens without pyuria, bacteriuria or other focus of infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Duration of fever before hospital visit in group B was significantly shorter than in group A (17.7\u2009\u00b1\u200914.0 vs 34.5\u2009\u00b1\u200930.7\u2009h). Most patients in group B (17\/19, 89.5%) came to the hospital within 24\u2009h of onset of fever. Acute scintigraphic lesions were found in 47.8% of patients in group A and 50% in group B. Underlying urological abnormalities such as vesicoureteral reflux and obstructive uropathy were found in 24.5% of patients in group A and in 33.3% of patients in group B (<jats:italic>P<\/jats:italic>\u2009=\u20090.74).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Clinicians cannot exclude UTI on the absence of pyuria in young children aged 2\u201324 months.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12853","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T08:12:51Z","timestamp":1448525571000},"page":"472-475","source":"Crossref","is-referenced-by-count":12,"title":["Can absence of pyuria exclude urinary tract infection in febrile infants? About 2011 AAP guidelines on UTI"],"prefix":"10.1111","volume":"58","author":[{"given":"Seong Heon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Pediatrics Pusan National University Children's Hospital  Yangsan Korea"},{"name":"Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo Young","family":"Lyu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Pusan National University Children's Hospital  Yangsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hye Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Pusan National University Hospital  Busan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Eun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Pusan National University Children's Hospital  Yangsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Pusan National University Children's Hospital  Yangsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1330"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-005-2083-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-011-1966-y"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e328326f702"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1990.tb11460.x"},{"key":"e_1_2_6_7_1","first-page":"940","article-title":"Revised AAP guideline on UTI in febrile infants and young children","volume":"86","author":"Roberts KB","year":"2012","journal-title":"Am. 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