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. 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.

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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]

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