Sørensen K, Lose G, Nathan E
Department of Paediatrics, Kolding Hospital, Denmark.
Eur J Pediatr. 1988 Nov;148(2):146-7. doi: 10.1007/BF00445924.
To evaluate a possible relationship between urinary tract infections (UTI) and diurnal incontinence (DIC), we studied 251 girls aged 4 years or more who were referred with a history of recurrent UTI and/or DIC. During follow up (mean 35 months), 110 girls (44%) had both UTI and DIC, 50 (20%) only infections, and 41 (16%) only DIC whereas 50 (20%) had neither infection nor DIC. In 110 girls with infections occurring with intervals of at least 6 and 12 months, DIC was definitively initiated by infection on 32 (19%) occasions. Most girls were continent before the infection occurred. When the girls remained free of infection for 6 or 12 months respectively, the frequency of DIC remained unchanged. In conclusion, no support for the concept of DIC leading to UTI was obtained, whereas the reverse was found in some cases and suggested in others.
为评估尿路感染（UTI）与日间尿失禁（DIC）之间可能存在的关系，我们研究了251名4岁及以上有复发性UTI和/或DIC病史的女童。在随访期间（平均35个月），110名女童（44%）同时患有UTI和DIC，50名（20%）仅有感染，41名（16%）仅有DIC，而50名（20%）既无感染也无DIC。在110名感染间隔至少为6个月和12个月的女童中，有32次（19%）DIC确实由感染引发。大多数女童在感染发生前是能自主控制排尿的。当女童分别连续6个月或12个月未发生感染时，DIC的发生率保持不变。总之，未获得支持DIC导致UTI这一概念的证据，而在某些情况下发现了相反情况，在另一些情况下则有此提示。
