The efficacy of screening bacteriuria among school children for detecting vesicoureteral reflux.

千恵子, 松村; 英昭, 倉山; 淳子, 宇田川; 靖幸, 小林; みづ枝, 露崎; 知道, 黒崎; 正, 西岡; 雅彦, 真家; 雄一, 長

doi:10.3165/jjpn.11.9

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…In one of the studies, Matsumura et al . performed bacterial culture (replica method) as screening for covert bacteriuria and reported that 39 cases of CAKUT, including 24 associated with VUR, were discovered from among 339 positive children . In contrast, there are several regions that use dipsticks for screening for leukocyturia in Japan.…”

Section: Resultsmentioning

confidence: 99%

“…But asymptomatic bacteriuria has not yet been proven to cause renal damage, although apparent UTI with any symptom may cause renal damages in children. UTI screening on bacterial culture (replica method) reported by Matsumura et al . is associated with problems related to cost and difficulty of culture techniques, and these disadvantages do not outweigh the advantages of the replica method.…”

Section: Discussionmentioning

confidence: 99%

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Urinary screening and urinary abnormalities in 3‐year‐old children in Japan

Yanagihara

Hamada

Ishikura

et al. 2015

Pediatrics International

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In Japan, urinary screening for preschool children has been obligatory since 1961. The system was reconsidered and has been under review since 2012, because many problems in the system had been identified, and its usefulness was uncertain. In the process, the following were analyzed: (i) frequency of urinary abnormalities identified on screening; (ii) diseases identified from urinary abnormalities; (iii) clinical course of children found to have urinary abnormalities; and (iv) screening for asymptomatic urinary tract infection (UTI) as a way of screening for congenital anomalies of the kidney and urinary tract. A computerized literature search was conducted, and study reports issued by the Ministry of Health, Labour and Welfare study group, and data of Akita City and Chiba City were reviewed. The prevalence of abnormal results at the first urinalysis was high, but at the second urinalysis the prevalence decreased in the range 1/6-1/20. The prevalence of tentative diagnosis at the third urinalysis was similar to the school urinary screening results. Serious illness was not found in children who had hematuria alone. In contrast, diseases requiring immediate attention were found in children with proteinuria, although the prevalence of proteinuria was not high. The dipstick method for leukocyturia was inefficient. The importance of two consecutive urinalyses before detailed examination, the lack of usefulness of screening for hematuria in 3-year-old children, and the importance of proteinuria were confirmed. Screening for asymptomatic UTI using urinary leukocytes was very inefficient.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%