Lee et al1 reported the results of a survey of pediatricians asked to evaluate a hypothetical child with fever in the era of the pneumococcal conjugate vaccine. They found an expected decrease in the number of physicians who would perform white blood cell counts and blood cultures and an unexpected decrease in the number who would perform urine cultures. Because Streptococcus pneumoniae is not a typical cause of urinary tract infections, I share their concern.
Barone SR. Pneumococcal Vaccine. Arch Pediatr Adolesc Med. 2005;159(1):91. doi:10.1001/archpedi.159.1.91-a