ABSTRACT
Because of high prevalence and morbidity of UTI in children, early diagnosis and on time treatment are essential; but confirmation of UTI diagnosis needs a urine culture which takes at least 48 hours. The aim of this study was to ascertain predictive values of urinalysis in the diagnosis of UTI. In this descriptive study the recorded files of 59 febrile patients, 30 patients with positive urine culture and 29 patients with negative urine culture, hospitalized in Imam Reza Hospital from 2003 to 2004, were evaluated. Age, sex, results of U/A including pyuria, hematuria, urine nitrite test and urine culture were gathered and analyzed using descriptive statistics. In this study sensitivity and specificity of nitrite test in diagnosis of UTI were 46.7% and 89.7% respectively. Sensitivity and specificity of pyuria were 76.7% and 48.3% respectively.Sensitivity and specificity of U/A in diagnosis of UTI in children under 2 years old were 85% and 70%, but in patients older than 2 years old were 100% and 35% respectively. This study indicated that non active U/A in children older than 2 years old rules out UTI in nearly 100% of cases
ABSTRACT
Birth injuries are due to difficult labors. Dislocation of elbow as a consequence of birth trauma has not been reported yet. A two days newborn was referred to Imam Reza hospital because of restlessness and limitation of movement in upper arm. Double dislocation of left elbow was observed in radiographic evaluation. In any newborn with difficult labor and limitation of movement in upper arm in addition to more common conditions dislocation of elbow should be considered