Pediatric emergency medicine trisk 1117 1117
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TABLE 57.4
CAUSES OF DYSURIA—LOCALIZED (NONINFECTIOUS) AND
MISCELLANEOUS
In the young child with dysuria in the absence of pyuria, local trauma and
chemical irritation are the most likely causes for the discomfort (see Table 57.4 ).
In infants <6 months old who empty their bladder frequently, it may be possible
to miss pyuria, so the clinician may have a lower threshold for obtaining a urine
culture. Most experts argue that the likelihood of infection is low in the absence
of positive indicators on urinalysis, obviating the need for culture.
