Stevenson SM, et al. - Researchers, in this study, investigate if bladder debris on ultrasound is a predictor for positive urine culture in a pediatric population. Findings suggest a possibility of positive urine culture in nearly half of pediatric patients undergoing urological evaluation found to have bladder debris on ultrasound. Debris is more commonly observed in girls and at a slightly higher age. Regardless of debris severity, hydronephrosis, or vesicoureteral reflux, the presence of debris is observed to be associated with a fourfold increase in detecting a positive urine culture. In view of the findings, routine documentation and searching the presence of any amount of bladder debris on ultrasound seem valuable, as this finding can be used to augment clinical decision-making and warrants strong consideration for obtaining urine culture.