The investigators then examined which index test items were significantly associated with a positive urine culture. They found history of a UTI, greater pain or more crying while urinating, urine with an increasingly foul smell, abdominal tenderness during an exam, and the clinician's increasing suspicion of severe illness to be associated with increasing risk of positive culture. In addition, not having a cough and having normal findings from an ear exam were also associated with a culture-confirmed UTI.
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