Asymptomatic Bacteriuria in Girl Entrants to Dundee Primary Schools

Abstract

This talk about the need for complete self-offering by doctors is not mere sentimentality. I believe that it is hard reality and the very foundation of the life and work of a doctor. I believe that we must accept it as an absolute requirement-first, because nothing less is any good to our patients; and, second, because nothing else will give us either grace or the strength to go on. ConclusionIn short, I believe that all the present professional disillusionment and disenchantment, despite its complex causation, is largely capable of being dispersed by doctors themselves by their making a resolve to understand and stick to our traditional professional virtues. By so doing we may hope to be widely recognized as good sound doctors; and if we are so recognized we shall gain or regain public esteem, and many present difficulties will melt away. It seems to me that the three things that matter are: that we rejoice in being firmly bound one to another by our professional training and experiences ; that we cultivate the grace of good will and good humour, and even a sense of fun, and never lose hold of this under any trials; and that we devote our whole life and work to the service of our patients, keeping nothing back that we know how to offer.Patients' needs, however demanding, must always be compassionately received, because the only reason for our being doctors is that we have the will and the power to serve. There is no other way to happiness and fulfilment. But

Covert bacteriuria of childhood: A clinical and epidemiological study

“…We have previously remarked on the unexpected small stature of many of these children (Savage et al, 1969) and this has now been confirmed. The effect, if it is an effect, on the child's stature does not seem to be due to renal involvement for there is no radiological evidence, in this larger series, of renal damage causing a significant difference in height and weight.…”

“…This has been detailed in a previous publication (Savage et al, 1969). We have found no difficulty in obtaining the fullest co-operation from the schools, medical personnel, and parents.…”

“…In the only large survey during childhood (Kunin, Deutscher, and Paquin, 1964) the rate of infection and radiological abnormalities was Received 23 May 1972. higher in the younger Caucasian girls, and for this reason we decided in Dundee to screen primary schoolgirl entrants (Savage et al, 1969). This study has continued and the present report details the clinical, laboratory, bacteriological, and radiological findings.…”

“…From 1967 to 1970 the majority of 5-year-old girls entering the Dundee Education Authority primary schools were screened for covert bacteriuria (Table I). Those screened in 1967 were reported in a pilot study (Savage et al, 1969). During 1968 and 1969 almost all the schoolgirls had their urine examined, but in 1970 a smaller number were examined primarily to collect more cases for a random-*Defined as a screening programme which has as its primary aim a direct contribution to the health of the individual (McKeown, 1968 ized control trial of therapy.…”

Urinary infections in children 1985

“…Repeated screening of cohorts of the same population of girls between 6 and 12 years showed an annual increment with a cumulative incidence during school age of 5%. Further screening of schoolgirls for bacteriuria was carried out in Britain, notably in Dundee, Oxford and Cardiff, Newcastle and Birmin-gham (Savage et al, 1969;Asscher et al, 1973;Newcastle Asymptomatic Bacteriuria Research Group, 1975;Edwards et al, 1975). The prevalence and other findings were broadly similar to that of Kunin.…”