Letter: Ear, Janeu, and heart.
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Biomedical subjects
Publications and source records attributed to S R Saxena.
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97 children, 67 girls aged 0-13 years and 30 boys aged 0-11 years, with apparent first urinary-tract infections were investigated radiologically. The intravenous pyelogram was abnormal in 15.5% of the girls and 33% of the boys and the micturating cystourethrogram was abnormal in 34% of the girls and 39% of the boys. When both examinations were combined the abnormality-rate rose to 41% in the two sexes. Accordingly, radiological investigation of the renal tract is recommended after the first proven urinary tract infection.
Over a 2-year period 80% of children found to have significant Proteus bacteriuria were boys. The organism was isolated from the prepuce in 30% of normal boys and 32% of those with balanitis. Proteus urinary tract infection should be carefully confirmed and proved cases thoroughly investigated.
Urine samples from 1000 pre-school children aged 4 weeks to 5 years, attending welfare centres, nursery schools or day nurseries in one London borough, were cultured by the dip-slide method. Five children had asymptomatic bacteriuria, a prevalence of 0-5 per cent. The need for screening the urine of pre-school children is discussed.
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