{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:30:56Z","timestamp":1790602256878,"version":"4.1.0"},"reference-count":17,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5,1]]},"abstract":"\n \n <\/jats:sec>\n \n BACKGROUND:<\/jats:title>\n A recent study revealed that specific uropathogens are associated with lower odds of pyuria in a general pediatrics population. Children with neurogenic bladders who require clean intermittent catheterization (CIC) frequently have pyuria. Our objective with this study was to determine if an association exists between pyuria and type of uropathogen in CIC-dependent children.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n We obtained urinalysis and urine culture results from electronic medical records from January 2008 through December 2014 for patients \u226418 years of age with neurogenic bladders managed at a single institution. Cultures without concurrent urinalyses were excluded from analysis, as were cultures that yielded no growth, fungal growth, or growth of unidentified mixed organisms. We used logistic regression to determine the association of pyuria and leukocyte esterase with specific uropathogens.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n We included 2420 cultures in this analysis. The growth of Enterococcus on urine culture was associated with lower odds of both pyuria and leukocyte esterase. In contrast, the growth of more than 100\u2009000 colony-forming units per milliliter of Proteus mirabilis was associated with increased odds of both pyuria and leukocyte esterase, and the growth of Pseudomonas aeruginosa was associated with increased odds of leukocyte esterase but not pyuria. Certain etiologies of neurogenic bladder, such as bladder exstrophy and cloacal malformations, were also associated with increased odds of pyuria compared with neurogenic bladder due to myelomeningocele.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n In children with neurogenic bladders who require CIC, Enterococcus may grow in urine culture without pyuria or positive leukocyte esterase. Accordingly, urine cultures should be obtained in symptomatic children, regardless of urinalysis results.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2017-3006","type":"journal-article","created":{"date-parts":[[2018,4,4]],"date-time":"2018-04-04T07:30:18Z","timestamp":1522827018000},"source":"Crossref","is-referenced-by-count":17,"title":["Uropathogens and Pyuria in Children With Neurogenic Bladders"],"prefix":"10.1542","volume":"141","author":[{"given":"Catherine S.","family":"Forster","sequence":"first","affiliation":[{"name":"Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Hoberman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of 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