Home Screening for the Detection of Urinary Tract Infection in Infancy FREE

Martin F. Randolph, MD, FAAP; Sally E. Woods, MS, CHA; C. John Hodson, MD, FRCP, FRCR; George T. Klauber, MD

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Am J Dis Child. 1979;133(7):713-717. doi:10.1001/archpedi.1979.02130070049011.

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ABSTRACT

ABSTRACT | REFERENCES

• One hundred sixty-five infants of both sexes, 2 weeks to 2 years of age, were screened by their parents at home for bacteriuria. Parents were instructed during a single brief period during the initial office visit to collect and to culture their infants' urine at home. Urine was collected by specimen bag and cultured promptly at cribside using a newly developed culture kit and inoculating swab. The same specimen was cultured by the office laboratory staff by kit and swab and, as a reference standard, by the loop-MacConkey method. Infants were screened at home after three consecutive office visits. Then, 870 specimens were processed. Urinary tract infection (UTI) was diagnosed in 3.6% of the study population. Results show that home screening of infants for UTI by the parent compares favorably with screening by the office laboratory.

(Am J Dis Child 133:713-717, 1979)

REFERENCES

ABSTRACT | REFERENCES

Randolph MF, Morris KE, Gould EB: The first urinary tract infection in the female infant . J Pediatr 86:342-347, 1975;.

Siegel SR, Sokoloff B, Siegel B: Asymptomatic and symptomatic urinary tract infection in infancy . Am J Dis Child 125:45-47, 1973;.

Hodson CJ, Wilson S: Natural history of chronic pyelonephritic scarring . Br Med J 2:191-194, 1965;.

White RHR: Urinary tract infection in children . Br Med J 1:1650-1652, 1977;.

Rapkin RH: Urinary tract infection in childhood . Pediatrics 60:508-511, 1977;.

Smellie JM, Hodson CJ, Edwards D, et al: Clinical and radiological features of urinary infection in children . Br Med J 2:1222-1226, 1964;.

Stansfeld JM: Clinical observations relating to incidence and etiology of urinary tract infections in children . Br Med J 1:631-635, 1966;.

Randolph MF, Greenfield M: The incidence of asymptomatic bacteriuria and pyuria in infancy . J Pediatr 65:57-66, 1964;.

Winberg J, Andersen HJ, Berstöm T, et al: Epidemiology of symptomatic urinary tract infection in childhood . Acta Paediatr Scand ( (suppl) )252:3-20, 1974;.

Smellie J, Edwards D, Hunter N, et al: Vesicoureteric reflux and renal scarring . Kidney Int 8:65-72, 1975;.

Dodge WF: The pros and cons of screening children for bacteriuria . Pediatr Ann 9:508-514, 1975;.

Gellis SS, in editorial comment, Kunin CM: Priorities in the prevention of pyelonephritis . Am J Dis Child 131:1281-1282, 1977;.

Dodge WF: Cost effectiveness of renal disease screening . Am J Dis Child 131:1274-1280, 1977;.

MacGregor M: Pyelonephritis Lenta: Consideration of childhood urinary infection as the forerunner of renal insufficiency in later life . Arch Dis Child 45:159-170, 1970;.

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