Abstract
Urinary tract infections (UTI) are a common and important clinical problem in childhood. Upper urinary tract infections (i.e., acute pyelonephritis) may lead to renal scarring, hypertension, and end-stage renal disease. Despite the presence of simple and reliable methods of preliminary screening of children's urine, urinary tract infection continues to be under diagnosed. The aim of this study was to establish prevalence rates of significant bacteriuria in asymptomatic school children by simple urine tests in comparison to standard urine culture techniques in Giza, Egypt. A total of 1000 apparently healthy school going children (6-12) years, 552 boys (55.2%) and 448 girls (44.8%), were enrolled in this cross-sectional prevalence survey. Overall prevalence of significant bacteriuria was 6%. Higher prevalence occurred in girls (11.4%) than boys (1.6%). Escherichia coli was isolated in 35(58%) cases (3 boys and 32 girls), Staph. aureus in 13 (22%) cases (3 boys and 10 girls), Enterobacter in 6 girls (10%), Kelbsiella pneumoniae in 3 boys (5%) and Proteus vulgaris in 3 girls (5%). Asymptomatic bacteriurea could be detected by urine screening program at school age. Overall prevalence of significant bacteriuria was 6%, with predominance in girls than boys.
Highlights
IntroductionAsymptomatic bacteriuria is defined as a significant bacterial count (usually 105 organism /ml) present in the urine of a person without symptoms.[1]
Asymptomatic bacteriuria is defined as a significant bacterial count present in the urine of a person without symptoms.[1]
The prevalence of asymptomatic bacteriuria in Egyptian school children was 7% in a previous study done by El Gamal and Saleh[2] another study done in India by Kondapaneni et al revealed a prevalence rate of 16.5%
Summary
Asymptomatic bacteriuria is defined as a significant bacterial count (usually 105 organism /ml) present in the urine of a person without symptoms.[1]. Detection of infection in asymptomatic children and prompt therapeutic intervention are essential to prevent cases of asympto-. Despite the presence of simple and reliable methods of preliminary screening of children's urine, urinary tract infection continues to be under diagnosed. Objectives: The aim of this study was to establish prevalence rates of significant bacteriuria in asymptomatic school children by simple urine tests in comparison to standard urine culture techniques in Giza, Egypt. Patients and methods: A total of 1000 apparently healthy school going children (6-12) years, 552 boys (55.2%) and 448 girls (44.8%), were enrolled in this cross-sectional prevalence survey. Overall prevalence of significant bacteriuria was 6%, with predominance in girls than boys. A study of asymptomatic bacteriuria in Egyptian school-going children
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