Covert bacteriuria in schoolchildren

Taralan Tambunan; Yuli Kumalawati; Partini P. Trihono; Astuti Giantiti; Muzal Kadim; Vera Irawani

doi:10.14238/pi41.1.2001.38-41

Taralan Tambunan Department of Child Health, University of Indonesia Medical School, Jakarta
Yuli Kumalawati Department of Clinical Pathology, University of Indonesia Medical School, Jakarta
Partini P. Trihono Department of Child Health, University of Indonesia Medical School, Jakarta
Astuti Giantiti Department of Clinical Pathology, University of Indonesia Medical School, Jakarta
Muzal Kadim Department of Child Health, University of Indonesia Medical School, Jakarta
Vera Irawani Undergraduate Medical Student, University of Indonesia Medical School, Jakarta

DOI: https://doi.org/10.14238/pi41.1.2001.38-41

Keywords: covert bacteriuria, screening, schoolchildren

Abstract

Covert bacteriuria is defined as significant bacteriuria detected during a screening program, This study was done as a pari of pilot program held by Medical School University of Indonesia namely Community Health Program. The screening was carried out at four Primary School al Cibubur Subdistrict Eastern Jakarta. The population target was focused on children at the third, four1h and fifth grade from each school. Screening urinalyses include examinatiOfl for the presence of glucose, protein, blood and bacteria. There were 460 children enrolled to this study, but only 449 cases were eligible for assessment comprising 217 males and 232 females aged ranged between 7.4-14.1 years. Covert bacteriuria were found in ten cases (2.22%), comprising five males and females consecutively. Antibiotics were not given. Repeated urine culture done two weeks later revealed that six cases cured spontaneously, four other cases still showing bacteriuria although all cases remain asymptomatic. We conclude that covert bacteriuria in schoolchildren is a benign condition, most of them are spontaneously cured without antibiotic treatment. This conclusion is in accordance with the opinion of most authors that screening for bacteriuria in healthy children does not have a place in any age group including schoolchildren.

References

1. Savage DCL, Wilson MI, Mc Hardy M, Dewar DAE, Fee WM. Covert bacteriuria of childhood. Arch Dis Child. 1973;48:8-20.
2. Kunin CM, Zachra E, Paquin AJ. Urinary-tract infections in school children. 1. Prevalence of bacteriuria and associated urologic findings. New Eng J Med. 1962; 266: 1287-96.
3. Kunin CM. A ten-year study of bacteriuria in schoolgirls: Final report of bacteriologic, urologic, and epidemiologic finding. J Infect Dis. 1970;122:382-93.
4. Newcastle Asymptomatic Bacteriuria Research Group. Asymptomatic bacteriuria in school children in Newcastle Upon Tyne. Arch Dis Child. 1975;50:90-102.
5. Savage OCL, Howie G, Adler K, Wdson ML. Controlled trial of therapy in covert bacteriuria. Lancet 1975:358-61.
6. Newcastle Covert Bacteriuria Research Group. Covert bacteriuria in schoolgirls in Newcastle Upon Tyne: a 5-year follow up. Arch Dis Child. 1981: 56:585-92.
7. Kemper KJ, Avncr ED. The case against screening urinalyses for asymptomatic bacteriuria in children. Am J Dis Child. 1992;146:343-6.
8. Mcadow SR. Haematuria. ln: Poslethwaite RJ (ed). Cinical Paediatric nephrology. 2nd ed. Oxford: Butterworth-Heinemann; 1994. p. 1-14.
9. Merit D. How should girls with recurrent urinary tract infection and persistent vaginal discharge managed. Pediatric Nephrol. 1989;3:178.
10. Jodal U. Urinary tract infections: Significance, pathogenesis, clinical features and diagnosis. In; Postlethwaite RJ (ed). Clinical paediatric nephrology. 2nd ed. Oxford: Butterworth-Heinemann; 1994. p. 151-9.
11. Hansson S, Jocial M, Noren L, Bjure J. In treated bacteriuria in asymptomatic girls with renal scarring. Pediatrics. 1989;84;964-8.
12. Linshaw M. Asymptomatic bacteria and vesicoureteral reflux in children. Kidney Int. 1996; 50:312-29.