Abstract
Thirty-eight children (12 boys and 26 girls) with symptomatic urinary infection have been studied in general practice. Patients were collected over a four-year period and we report an incidence of urinary infection according to Kass's criterion of 7·7 per 1,000 girls at risk per year and 3·8 per 1,000 boys at risk per year. Eighty-four per cent of the children had symptoms which suggested an origin in the genitourinary tract. Proteus infection was found in five of the boys and only one of the girls. At the end of the four-year study period follow-up had taken place over a mean period of 25 months and recurrent infection had been demonstrated in four boys and 12 girls. All the children had an excretion urogram and two children, both girls, were found to have pyelonephritic scarring. Twelve children with recurrent infection were investigated for vesicoureteric reflux, which was found only in the two children with scarring. At seven years 31 of the children remained in the practice and, with a mean follow-up of 42 months, no significant alteration in the figures for recurrent infection was demonstrated. Guidelines are suggested for the management of childhood urinary infection in general practice.
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Selected References
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- Bergström T. Sex differences in childhood urinary tract infection. Arch Dis Child. 1972 Apr;47(252):227–232. doi: 10.1136/adc.47.252.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brooks D., Maudar A. Pathogenesis of the urethral syndrome in women and its diagnosis in general practice. Lancet. 1972 Oct 28;2(7783):893–898. doi: 10.1016/s0140-6736(72)92532-9. [DOI] [PubMed] [Google Scholar]
- FRY J., DILLANE J. B., JOINER C. L., WILLIAMS J. D. Acute urinary infections. Their course and outcome in general practice with special reference to chronic pyelonephritis. Lancet. 1962 Jun 23;1(7243):1318–1321. doi: 10.1016/s0140-6736(62)92421-2. [DOI] [PubMed] [Google Scholar]
- Hallett R. J., Pead L., Maskell R. Urinary infection in boys.A three-year prospective study. Lancet. 1976 Nov 20;2(7995):1107–1110. doi: 10.1016/s0140-6736(76)91087-4. [DOI] [PubMed] [Google Scholar]
- Hodson C. J., Wilson S. Natural History of Chronic Pyelonephritic Scarring. Br Med J. 1965 Jul 24;2(5455):191–194. doi: 10.1136/bmj.2.5455.191. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kunin C. M. A ten-year study of bacteriuria in schoolgirls: final report of bacteriologic, urologic, and epidemiologic findings. J Infect Dis. 1970 Nov;122(5):382–393. doi: 10.1093/infdis/122.5.382. [DOI] [PubMed] [Google Scholar]
- Mond N. C., Grüneberg R. N., Smellie J. M. Study of childhood urinary tract infection in general practice. Br Med J. 1970 Mar 7;1(5696):602–605. doi: 10.1136/bmj.1.5696.602. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- 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]
- Welch T. R., Forbes P. A., Drummond K. N., Nogrady M. B. Recurrent urinary tract infection in girls. Group with lower tract findings and a benign course. Arch Dis Child. 1976 Feb;51(2):114–119. doi: 10.1136/adc.51.2.114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams C. M. Urinary tract infection in children: general practice survey. Aust Fam Physician. 1976 Apr;5(3):340–344. [PubMed] [Google Scholar]