Bladder Debris On Renal And Bladder Ultrasound A Significant Predictor The management of patients in whom bladder debris is seen on rbus is also uncertain and may be based on many clinical factors (e.g. ongoing fever, urinary symptoms, etc.). one recent study in adults concluded that bladder debris is not significantly associated with an abnormal urinalysis . in that study, the imaging and urine sample were. Debris within the bladder is commonly seen on ultrasound. the etiology of bladder debris is varied and the likelihood that urinary debris represents positive urine culture is under investigation. we hypothesize that bladder debris will increase the likelihood that a urine culture is positive compared to those without bladder debris.
Figure 1 From Association Of Urinary Tract Infection And The sensitivity and specificity for bladder debris in detecting positive urine cultures was 52% and 86%, respectively. forty seven percent of those with bladder debris had positive cultures, compared with 12% of those without debris (p < 0.01). the relative risk of positive urine culture if debris is present is 3.90 (95% ci 2.73 5.55). Background: debris within the bladder is commonly seen on ultrasound and its presence or absence is often reported by radiologists. the etiology of bladder debris is varied and includes urinary tract infection (uti). the likelihood that urinary debris represents a uti is not defined, thus limiting the usefulness of this finding. The presence of bladder debris was associated with the presence of urobilinogen, nitrite, and white blood cells (p = < 0.0001, 0.0005, and 0.0004, respectively). bladder debris in the emergency department setting correlates with urinalysis laboratory values suggesting a urinary tract infection. Renal and bladder ultrasound (rbus) is recom . was used to evaluate the association between debris. c.p. nelson, boston children’s. mended in evaluation of children after an initial, on rbus and positive urine culture results. hospital, 300 longwood avenue, boston, ma 02115, usa. caleb.nelson@childrens. harvard.edu (c.p. nelson) keywords.
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