Malodorous urine is often reported as one of the symptoms in children with a urinary tract infection (UTI), but studies looking at this symptom have been contradictory. In a prospective consecutive cohort study in the May 2012 Pediatrics, “Association of Malodorous Urine With Urinary Tract Infection in Children Aged 1 to 36 Months,” published online April 2, researchers surveyed the parents of children who had a urine culture for a suspected UTI to see if malodorous urine was linked to a positive result. Out of 331 children, smelly urine was reported by parents in 57 percent of children with UTI and in 32 percent of children without UTI. Study authors conclude that parent reports of malodorous urine should make the health care provider more suspicious of this type of infection in a young child with an otherwise-unexplained fever.
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