한국 유치원생의 무증상 세균뇨에 대한 선별검사
Screening for Asymptomatic Bacteriuria in Korean Preschool Children
소속 상세정보
김광명
최황/이택/한상원/최승강/우영남/김경도/윤재영/박관현
KMID : 0358319980390020126
Abstract
결론
본 연구에서 전국적인 조사를 통하여 한국 유치원생 2,239명의 무증상 세균뇨의 빈도는
1.03%로 나타났으며 남아에서 는 0.3%, 여아에서는 2.0%로 여아가 7배정도 높았다. 배양된
균종류는 장내 세균이 대부분을 차지하였다. 세균뇨를 가진 소아에서 방사선학적 검사는 무
종상 세균뇨 23명 중 2례 이외에 균이 배양된 45명 중 7례에서 시행되었으나 모두 정상이었
다. Dipstick검사를 통해 무증상 세균뇨의 양성 예상도는 13.1%였다. 본 연구는 국내 소아
요로감염에 대한 주의를 환기시키고 요로감염에 대한 전국적인 전별검사의 국내 첫 자료로
서 그 의의가 크다 하겠다 또한 이와 같은 선별검사가 전국의 유치원생에 확대 실시 될 때
경제적인 면에서 의의가 있을지 여부는 추후 더 많은 연구를 통하여 조사되어야 할 것이다.
#초록#
Purpose: To determine the incidence of asymptomatic bacteriuria in Korean preschool
children, we performed national survey.
Materials and Methods: We surveyed kindergardens in seven representative cities of
Korea. Before performing urine culture, we selected children by urine dipstick screening
method(leukocyte esterase and nitrite test). And we analysed the incidence according to
sex, age and socioeconomic status.
Results: Total registered population was 2,239 children and male to female ratio was
1.16. Overall, asymptomatic bacteriuria was found in 1.03%(23 children). In the male the
incidence was 0.3%(3 children) and in the female it was 2.0%(19 children). Less than 4
years old children showed higher incidence (2.9%) than those of any other age groups,
such as, 0.5% in 4, 1.1% in 5 and 1.3% in 6 years old. High, middle and low
socioeconomic status groups showed the incidence as 0%, 0.9% and 1.4%, respectively
The number of leukocyte esterase positive children was 184(8.2%) and that of nitrite
positive children was 115(5.1%). Among them urine culture was performed in 175children
and 23 children showed significant bacteriuria(colony count> 100,000/ml), so predictability
of asymptomatic bacteriuria by dipstick test was 13.1% Radiologic study was performed
in 9 children who had bacteriuria, but none of them showed urological abnormalities.
Conclusions: From the above data, we found that asymptomatic bacteriuria is more
common in female, younger age and lower socioeconomic status among the Korean
preschool children. Considering cost-benefit aspects of the screening for asymptomatic
bacteriuria, however, we should re-evaluate the necessity of our study on these
particular age groups.
키워드
Asymptomatic bacteriuria; Preschool children; Urine dipstick; Screening;
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