Skip to main content
PMC home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1975 Apr;50(4):253–258. doi: 10.1136/adc.50.4.253

Urinary tract in schoolgirls with covert bacteriuria.

M S McLachlan, S T Meller, E R Jones, A W Asscher, E W Fletcher, R T Mayon-White, J G Ledingham, J C Smith, H H Johnston
PMCID: PMC1544464  PMID: 1147664

Abstract

During screening of 16,800 primary schoolgirls, aged 4-12 years, in Cardiff and Oxford, significant bacteriuria was found in 294 (1-7%). Intravenous urography and micturating cystography were performed in 246 of these girls. The urinary tract was abnormal in 47%. Pyelonephritis with or without vesicoureteric reflux was present in 26% and reflux without renal abnormality in a further 16%. The prevalence of pyelonephritis and reflux was independent of age. With few exeptions kidneys without pyelonephritic scars appeared to be normal in size, even when ureteric reflux was present.

Full text

PDF
253

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailey R. R. The relationship of vesico-ureteric reflux to urinary tract infection and chronic pyelonephritis-reflux nephropathy. Clin Nephrol. 1973 May-Jun;1(3):132–141. [PubMed] [Google Scholar]
  2. Davies J. M., Gibson G. L., Littlewood J. M., Meadow S. R. Prevalence of bacteriuria in infants and preschool children. Lancet. 1974 Jul 6;2(7871):7–10. doi: 10.1016/s0140-6736(74)91345-2. [DOI] [PubMed] [Google Scholar]
  3. GWINN J. L., BARNES G. R., Jr STRIATED URETERS AND RENAL PELVES. PRELIMINARY REPORT. Am J Roentgenol Radium Ther Nucl Med. 1964 Mar;91:666–668. [PubMed] [Google Scholar]
  4. HUTCH J. A., MILLER E. R., HINMAN F., Jr Vesicoureteral reflux. Role in pyelonephritis. Am J Med. 1963 Mar;34:338–349. doi: 10.1016/0002-9343(63)90121-9. [DOI] [PubMed] [Google Scholar]
  5. HUTCH J. A. Saccule formation at the ureterovesical junction in smooth walled bladders. J Urol. 1961 Oct;86:390–399. doi: 10.1016/S0022-5347(17)65186-3. [DOI] [PubMed] [Google Scholar]
  6. HUTCH J. A. Theory of maturation of the intravesical ureter. J Urol. 1961 Nov;86:534–538. doi: 10.1016/S0022-5347(17)65215-7. [DOI] [PubMed] [Google Scholar]
  7. Hodson C. J. The effects of disturbance of flow on the kidney. J Infect Dis. 1969 Jul;120(1):54–60. doi: 10.1093/infdis/120.1.54. [DOI] [PubMed] [Google Scholar]
  8. KASS E. H. Asymptomatic infections of the urinary tract. Trans Assoc Am Physicians. 1956;69:56–64. [PubMed] [Google Scholar]
  9. KUNIN C. M., DEUTSCHER R., PAQUIN A., Jr URINARY TRACT INFECTION IN SCHOOL CHILDREN: AN EPIDEMIOLOGIC, CLINICAL AND LABORATORY STUDY. Medicine (Baltimore) 1964 Mar;43:91–130. [PubMed] [Google Scholar]
  10. Kaude J. V., Reed J. M. Voiding urethrocystography by means of 70-mm image-intensifier fluorography. Radiology. 1969 Mar;92(4):768–passim. doi: 10.1148/92.4.768. [DOI] [PubMed] [Google Scholar]
  11. Kunin C. M. Epidemiology and natural history of urinary tract infection in school age children. Pediatr Clin North Am. 1971 May;18(2):509–528. doi: 10.1016/s0031-3955(16)32563-9. [DOI] [PubMed] [Google Scholar]
  12. Maling T. M., Rolleston G. L. Intra-renal reflux in children demonstrated by micturating cystography. Clin Radiol. 1974 Jan;25(1):81–85. doi: 10.1016/s0009-9260(74)80101-7. [DOI] [PubMed] [Google Scholar]
  13. McRae C. U., Shannon F. T., Utley W. L. Effect on renal growth of reimplantation of refluxing ureters. Lancet. 1974 Jun 29;1(7870):1310–1312. doi: 10.1016/s0140-6736(74)90681-3. [DOI] [PubMed] [Google Scholar]
  14. Rolleston G. L., Maling T. M., Hodson C. J. Intrarenal reflux and the scarred kidney. Arch Dis Child. 1974 Jul;49(7):531–539. doi: 10.1136/adc.49.7.531. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Rolleston G. L., Shannon F. T., Utley W. L. Relationship of infantile vesicoureteric reflux to renal damage. Br Med J. 1970 Feb 21;1(5694):460–463. doi: 10.1136/bmj.1.5694.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. SMELLIE J. M., HODSON C. J., EDWARDS D., NORMAND I. C. CLINICAL AND RADIOLOGICAL FEATURES OF URINARY INFECTION IN CHILDHOOD. Br Med J. 1964 Nov 14;2(5419):1222–1226. doi: 10.1136/bmj.2.5419.1222. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. STEPHENS F. D. Clinical features and prognosis of vesicoureteral reflux. J Coll Radiol Australas. 1963 Feb;7:17–19. [PubMed] [Google Scholar]
  18. Savage D. C., Wilson M. I., McHardy M., Dewar D. A., Fee W. M. Covert bacteriuria of childhood. A clinical and epidemiological study. Arch Dis Child. 1973 Jan;48(1):8–20. doi: 10.1136/adc.48.1.8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Stolpe Y., King L. R., White H. The normal range of renal size in children. Invest Urol. 1967 May;4(6):600–607. [PubMed] [Google Scholar]
  20. Williams G. L., Davies D. K., Evans K. T., Williams J. E. Vesicoureteric reflux in patients with bacteriuria in pregnancy. Lancet. 1968 Dec 7;2(7580):1202–1205. doi: 10.1016/s0140-6736(68)91689-9. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES