Reply

We thank Drs Roberts and Wald for their interest in our article. However, the calculations presented in the first paragraph of their letter are misleading because they assume the “best case scenario” in favor of the authors' argument. Only when both prevalence of urinary tract infection (UTI) and false positive rate of on currently-available point-of-care tests for pyuria are 5% would the prevalence of true missed UTI without pyuria (ie, 0.25%) approach that of asymptoma tic bacteriuria without pyuria (0.21%, the overall rate of asymptomatic bacteriuria without pyuria from our study).

Source: The Journal of Pediatrics - June 20, 2020 Category: Pediatrics Authors: Nader Shaikh Tags: Letter to the editor Source Type: research