Finding A Cause For UTIs When Conventional Testing Doesn't Work

Main Category: Pediatrics / Children's Health
Also Included In: Urology / Nephrology;  Nursing / Midwifery
Article Date: 19 Aug 2008 - 1:00 PDT

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When children seek care for urinary tract infections (UTIs) along with a fever (FUTI), conventional testing evaluates for vesicoureteral reflux (VUR), an abnormal flow of urine from the bladder back into the ureters.

However, when tests are negative, the child, parents and health care providers can become frustrated when seeking a definitive diagnosis. FUTIs represent more than just dysfunctional voiding, says author Dawn Diaz Saldano. If conventional testing is negative, Saldano recommends nurses and other health care providers use PIC cystography for further evaluation.

PIC cystography (positioning the instillation of contrast at the uretal orifice) offers an alternative method for definitive diagnosis and allows health care providers to treat the condition more effectively. Saldano also notes health care providers should work closely with the child and family to determine other strategies to treat dysfunctional voiding and eliminate UTIs.

"Urinary Tract Infection: Finding an Answer When Conventional Testing is Not Helpful"
Dawn Diaz Saldano, MSN, APN, CPNP
Urologic Nursing; August 2008

About the Society of Urologic Nurses and Associates (SUNA)

The Society of Urologic Nurses and Associates is a professional organization committed to excellence in clinical practice and research through education of its members, patients, family and community. Our vision is to be the nursing authority in the management of persons with urological healthcare concerns.

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