ABSTRACT Introduction:Febrile children comprise a major proportion in Paediatric out-patient Department. Urinary Tract Infection are one of the most common and serious infection of the childhood which leads to end organ damage.Considering the above scenario this study has been undertaken to evaluate the prevalence of urinary tract infection in febrile children, compare culture positive results with microscopic-urinalysis and to study the risk-factors associated with it. Methodology:Thisanalytical-cross-sectional study was conducted amongst children aged 2 months to 5 years admitted at Paediatric ward and PICUof a tertiary care hospital over a period of 18 months. The study protocol was approved by Institutional Ethical Committee. Results:Frequency of study casesof urinary tract infection in febrile children in our study was 3.93%.Amongst the various risk factors studied in culture positive cases female sex contributes the most common risk factor followed by age <1 year. Amongst the culture positive cases, E coli was the most common organism for Urinary tract Infection accounting for total 11 i.e. (58%) of the totalcases followed by Klebsiella and Enterococcus.Amongst the total studied cases (80), 19 cases i.e.(23.75%) of the total contributed to positive urine culture growth.Amongst the 19 culture-positive cases,17 cases i.e. (89.5%) of cases showed significant pyuria whereas in culture-negative, only 1.65% had significant pyuria which was statistically significant. (p value<0.00001). However, 02(10.5%) cases with Urinary tract Infection would have been missed if only presence of significant pyuria on microscopy was taken as a method of diagnosis of UTI.