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Microbiota of the Urogenital Tract

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Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice

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Asymptomatic bacteriuria in school going children.

C S V Kumar¹, A Jairam, S Chetan

¹Department of Microbiology, Kasturba Medical College, Mangalore - 575 001, Karnataka, India.

Indian Journal of Medical Microbiology

|July 28, 2007

Summary

Asymptomatic bacteriuria affects over 10% of school children, with a higher incidence in females. Common culprits include E. coli, Klebsiella pneumoniae, and Staphylococcus aureus, often showing antibiotic resistance.

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Area of Science:

Pediatric Infectious Diseases
Microbiology
Public Health

Background:

Asymptomatic bacteriuria (ASB) is a significant health concern in children.
Early detection and management of ASB can prevent long-term complications.
Prevalence and causative agents of ASB vary across different populations and age groups.

Purpose of the Study:

To determine the prevalence of asymptomatic bacteriuria in school-aged children.
To identify the specific microorganisms causing ASB in this demographic.
To assess the antimicrobial susceptibility patterns of isolated pathogens.

Main Methods:

Screening of 1817 school children.
Collection of mid-stream urine samples.
Microbiological isolation and identification of bacteria.

Main Results:

Prevalence of ASB was 10.57% (192 cases).
Higher incidence observed in females compared to males.
Escherichia coli was the most frequent isolate (32.8%), followed by Klebsiella pneumoniae (22.4%) and Staphylococcus aureus (15.1%).

Conclusions:

A consistent increase in ASB incidence was noted across different age groups.
A significant proportion of bacterial isolates exhibited resistance to one or more antibiotics.
Findings highlight the need for targeted surveillance and antibiotic stewardship programs for ASB in school children.