Covert bacteriuria of childhood
Covert bacteriuria of childhood
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儿童隐性菌尿
DOI：
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发表时间：
1973
影响因子：
5.2
通讯作者：
W. M. Fee
中科院分区：
文献类型：
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作者：
D. Savage;M. Wilson;M. McHardy;D. A. Dewar;W. M. Fee
一项为期4年的邓迪小学女生隐性菌尿筛查项目显示，患病率为1.6%，年发病率为0.9%。在109例菌尿患儿中，70%有下尿路感染症状，35%有膀胱输尿管反流，23%有肾盂肾炎的放射学证据。脓尿和既往泌尿系感染史均与反流或肾盂肾炎的放射学证据有关。隐性菌尿症在社会阶层IV和V的儿童中更常见;即使考虑到他们的社会阶层差异，他们的住房、家庭环境和家庭护理也比对照组差。这些孩子看起来基本健康，但比对照组小。这些数据显示，这些儿童绝大部分并没有严重的风险，目前没有足够的证据证明有必要进行规定性的筛查。
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.