Untreated asymptomatic bacteriuria in girls: I--Stability of urinary isolates.

BMJ

Department of Paediatrics, Gothenburg University, East Hospital, Sweden.

Published: April 1989

Objective: To assess the frequency of spontaneous changes of bacterial strains in patients with untreated asymptomatic bacteriuria.

Design: Retrospective analysis of samples from all patients with renal scarring and random sample of patients with normal kidneys.

Setting: Outpatient clinic for children with urinary tract infections.

Patients: 54 Girls aged 3.3-15.5 years with untreated asymptomatic bacteriuria caused by Escherichia coli.

Intervention: None.

End Point: Change in bacterial strain.

Measurements And Results: Serotyping and electrophoretic analysis of sequential bacterial isolates, representing 151 patient years of untreated asymptomatic bacteriuria. A total of 24 changes of strain were identified. Eleven were related to medical interference such as treatment of other infections with antibiotics.

Conclusions: Spontaneous changes of strain were uncommon, one change in 11.6 patient years, and thus are not a characteristic feature of the course of asymptomatic bacteriuria.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1836156PMC
http://dx.doi.org/10.1136/bmj.298.6677.853DOI Listing

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