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The feasibility of screening preschool children for urinary tract infection using dipslides

C M Taylor, R H White

    The International Journal of Pediatric Nephrology
    |June 1, 1983
    PubMed

    Insights

    Oxoid dipslides are not reliable for widespread preschool urinary tract infection (UTI) screening in children due to high false positive rates from bag urine collection in infants.

    Area of Science:

    • Pediatric Nephrology
    • Clinical Microbiology
    • Diagnostic Accuracy Studies

    Background:

    • Urinary tract infections (UTIs) are common in young children.
    • Accurate and accessible diagnostic methods are crucial for early detection and management.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of Oxoid dipslides for screening preschool children for UTI.
    • To determine the prevalence of UTI, vesico-ureteric reflux (VUR), and renal scarring in the screened population.

    Main Methods:

    • A screening study involving preschool children using Oxoid dipslides for UTI detection.
    • Colony counts were analyzed, with >10(5)/ml considered positive.
    • Urine collection was primarily via bag specimens for infants.

    Main Results:

    • A colony count >10(5)/ml was observed in 64/566 boys and 58/446 girls.
    • Confirmed UTI diagnoses were established in 3 boys (≤6 months) and 5 girls.
    • No cases of VUR or renal scarring were detected.
    • False positive rates ranged from 15-17% in infants due to bag urine collection.

    Conclusions:

    • Oxoid dipslides, when using bag urine collection, yield high false positive rates in infants.
    • This method is not suitable for large-scale UTI screening in preschool children.
    • Alternative or improved urine collection methods are needed for accurate UTI diagnosis in this age group.

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