Abstract
Observations have been made on 350 children with urinary tract infections, all having significant pyuria and bacilluria and some also with radiological or histological evidence of pyelo nephritis. Of these, 193 were seen at a urological clinic for children held in the Royal Victoria Infirmary, a teaching hos pital in Newcastle upon Tyne, and 157 at Dryburn, a non teaching hospital in Durham. The experiences at the two hospitals differed. Cases were selected in both, but in different ways, those at the teaching hospital being mainly referred by paediatricians because of suspected or revealed abnormalities in the renal tract, while those at the peripheral hospital were referred by family doctors. Certainly the cases seen at the teaching hospital were more severe, with frequent abnormalities, and were both more difficult to control and more liable to relapse.
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