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Covert bacteriuria of childhood
  1. D. C. L. Savage,
  2. M. I. Wilson,
  3. M. McHardy,
  4. D. A. E. Dewar,
  5. W. M. Fee

    A clinical and epidemiological study

    Abstract

    A 4-year screening programme for covert bacteriuria in Dundee primary schoolgirl entrants showed a prevalence of 1·6% and an annual incidence of 0·9%. Among 109 children with bacteriuria, 70% had symptoms of lower urinary tract infection, 35% had vesicoureteric reflux, and 23% radiological evidence of pyelonephritis. Both pyuria and a past history of urinary infection were related to radiological evidence of reflux or pyelonephritis.

    Covert bacteriuria was found more frequently in children from social classes IV and V; and their housing, home circumstances, and home care were worse than a control group, even when allowance was made for their social class differences. The children appeared generally healthy but were smaller than a control group.

    The data suggest that the great majority of these children are not seriously at risk and that there is at present not sufficient evidence to warrant prescriptive screening.

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    A clinical and epidemiological study

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