Abstract
During 1972-73, the KDI screened 35, 195 children (17,625 girls and 17,570 boys) for bacteriuria, defined as 3 consecutive + dipslide cultures or one + culture and + Griess nitrite test. 9,351 were preschool and 25,844 first grade children primarily. Each child's physician was requested to report results of office follow-up. Failure to file a report resulted in repeat referral to the physician. Follow-up was obtained in 90% of school children but was less efficient in preschool children.
Prevalence rate for bacteriuria was 1.9% in girls, 0.4% in males. The relatively high rate in males reflects in part contamination in uncircumcised boys. Of 309 children seen in follow-up, urinary tract infection (UTI) was confirmed in 187 (60%). Failure to confirm UTI in 40% may reflect the inefficiency of current office diagnostic methods since diagnosis of UTI was missed in 18 girls with + Griess tests.
Although UTI was confirmed by culture or urinalysis in 24 males, radiologic studies (RS) were done in only 4. Of 163 girls with confirmed UTI only 26 had RS; 8 (31%) were abnormal and 4 (16%) had ureteral reflux. As in prior reports, asymptomatic bacteriuria was associated with a high percentage of UT abnormalities when RS were done. Failure to confirm bacteriuria with urine cultures and to evaluate infected children radiologically indicate a need for basic physician education as a integral part of a screening program.
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Holland, N., Goodloe, D. FOLLOW-UP OF A BACTERIURIA SCREENING PROGRAM. Pediatr Res 8, 426 (1974). https://doi.org/10.1203/00006450-197404000-00515
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DOI: https://doi.org/10.1203/00006450-197404000-00515
