Evidence map›Paper›PMID 34251495›Full record

ArticlePediatric nephrology (Berlin, Germany)2022

Biomarkers for febrile urinary tract infection in children.

Nader Shaikh, Hui Liu, Marcia Kurs-Lasky, Catherine S Forster

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01391793 (Corticosteroids for Children With Febrile Urinary Tract Infections), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01391793 phase3completednot on this map

Corticosteroids for Children With Febrile Urinary Tract Infections

TypeinterventionalSponsorNader ShaikhRan2011 to 2018Enrolled546ConditionsAcute Urinary Tract Infection, Urinary Tract InfectionArmsPlacebo, Dexamethasone
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Nader ShaikhDivision of General Academic Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, One Children's Hospital Drive, 4401 Penn Ave, Pittsburgh, PA, 15224, USA. nader.shaikh@chp.edu.ORCID http://orcid.org/0000-0002-1602-343X
Hui LiuDivision of General Academic Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, One Children's Hospital Drive, 4401 Penn Ave, Pittsburgh, PA, 15224, USA.
Marcia Kurs-LaskyDivision of General Academic Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, One Children's Hospital Drive, 4401 Penn Ave, Pittsburgh, PA, 15224, USA.
Catherine S ForsterDivision of General Academic Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, One Children's Hospital Drive, 4401 Penn Ave, Pittsburgh, PA, 15224, USA.
University of Pittsburgh · US

Funding

Corticosteroids for Children with Febrile Urinary Tract InfectionsR01DK087870 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHAIKH, NADER · 2011 to 2015
$3.1M
Biomarkers for Urinary Tract Infection and PyelonephritisR01DK118033 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHAIKH, NADER · 2019 to 2024
$2.7M
NIDDK NIH HHS R01 DK087870NIDDK NIH HHS R01 DK118033
6 · The paper itself

Abstract

backgroundThe sensitivity and specificity of the leukocyte esterase test for the diagnosis of urinary tract infection (UTI) are suboptimal. Recent studies have identified markers that appear to more accurately differentiate children with and without UTI. The objective of this study was to determine the accuracy of these markers, which included CCL3, IL-8, CXCL1, TNF-alpha, IL-6, IFN-gamma, IL-17, IL-9, IL-2, and NGAL, in the diagnosis of UTI.

methodsThis was a prospective cross-sectional study to compare inflammatory proteins between urine samples from febrile children with a UTI, matched febrile controls without a UTI, and asymptomatic healthy controls.

resultsWe included 192 children (75 with febrile UTI, 69 febrile controls, and 48 asymptomatic healthy controls). Urinary proteins that best discriminated between febrile children with and without UTI were NGAL, a protein that exerts a local bacteriostatic role in the urinary tract through iron chelation; CCL3, a chemokine involved in leukocyte recruitment; and IL-8, a cytokine involved in neutrophil recruitment. Levels of these proteins were generally undetectable in asymptomatic healthy children.

conclusionsNGAL, CCL3, and IL-8 may be useful in the early diagnosis of UTI.

trial registrationClinicalTrials.gov (NCT01391793) A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

FeverUrinary Tract InfectionsBiomarkersCase-Control StudiesChemokine CCL3ChildCross-Sectional StudiesHumansInterleukin-8Lipocalin-2Prospective StudiesBiomarkersCCL3 protein, humanChemokine CCL3Interleukin-8Lipocalin-2BiomarkerDiagnostic accuracyInfectious diseaseUTI

Identifiers

PMID34251495
PMCPMC12925603
OpenAlexW3181520000

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.