{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:44:16Z","timestamp":1777527856730,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T00:00:00Z","timestamp":1366588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>Objectives. Classically, presence of fever \u226538.0\u00b0C is used to distinguish pyelonephritis from cystitis. We analyzed whether this is an appropriate marker to initiate further workup and whether temperature is correlated with urological abnormalities and further surgical or pharmacological intervention. Methods. Children who presented for their first workup of urinary tract infection between October 1, 2008, and September 30, 2009 were retrospectively selected from our institution. Demographics and clinical details were correlated with the diagnosis of urological abnormalities and requirement for intervention. Results. Age was the most important variable to predict urological abnormalities. The temperature value of 38.3\u00b0C maximized the balance between sensitivity (90%) and specificity (46%) for predicting the need to intervene and the presence of anatomical urological abnormalities. Conclusion. Young age (\u22642 years) and temperature are the best factors to predict further intervention and urological abnormalities, with a temperature value of 38.3\u00b0C being a better predictive value than the currently used 38.0\u00b0C.<\/jats:p>","DOI":"10.1177\/0009922813485284","type":"journal-article","created":{"date-parts":[[2013,4,23]],"date-time":"2013-04-23T20:14:44Z","timestamp":1366748084000},"page":"739-746","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Predicting Anatomical Urological Abnormalities in Children Who Present With Their First Urinary Tract Infection"],"prefix":"10.1177","volume":"52","author":[{"given":"Vitor C.","family":"Zanetta","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian M.","family":"Rosman","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital, 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