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  • Title: Covert bacteriuria of childhood. A clinical and epidemiological study.
    Author: Savage DC, Wilson MI, McHardy M, Dewar DA, Fee WM.
    Journal: Arch Dis Child; 1973 Jan; 48(1):8-20. PubMed ID: 4685601.
    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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