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Asymptomatic bacteriuria in preadolescent girls.
Alejandro E Macías1, Gloria P Trujillo, Luis A Dubey
1Departamento de Medicina y Nutrición, Universidad de Guanajuato.
Summary
Asymptomatic bacteriuria affects 2.1% of preadolescent girls, potentially impacting future pregnancies. Early detection using the nitrite test is recommended for effective screening and prevention.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Public Health
Background:
- Asymptomatic bacteriuria in young girls can have significant implications for future reproductive health.
- Early detection is crucial to mitigate potential long-term consequences.
Purpose of the Study:
- To determine the prevalence of asymptomatic bacteriuria in preadolescent girls.
- To evaluate the effectiveness of the nitrite test as a screening tool.
Main Methods:
- A cross-sectional study was conducted involving girls aged 9 to 13 years.
- Bacteriuria diagnosis required > 100,000 CFU/mL in two consecutive urine samples.
Main Results:
- The prevalence of asymptomatic bacteriuria was 2.1% (7 out of 327 girls).
- Escherichia coli was the predominant pathogen identified.
- The nitrite test demonstrated high utility values: sensitivity 1, specificity 0.9, positive likelihood ratio 10, and negative predictive value 1.
Conclusions:
- The prevalence aligns with international findings, underscoring the need for early detection in preadolescent girls.
- The nitrite test shows promise as a reliable screening method for asymptomatic bacteriuria in this age group.
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