Bacteriuria in School Children

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Abstract
Demographic data and occurrence of bacteriuria in 12,252 school children plus medical history by structured maternal interview for a randomly selected sample of 2,871 of these children provide information relevant to planning of screening programs. Data from 110 girls, discovered to be bacteriuric during the school surveys and observed for one to four years after initial detection and referral to their usual source of medical care, provide a measure of contemporary management of urinary tract infection in girls. No significant differences were noted for results of annual urine culture in these 110 girls, when analyzed by socioeconomic level, age of first urinary tract infection or bacteriuria, selection for or results of intravenous pyelogram, and therapeutic regimen (including no antibacterial agents). These data indicate a need to seriously question the advisability of treating all schoolgirls for bacteriuria; however, the fact that patients were not randomly assigned to treatment and control groups precludes a definitive recommendation.