Silverberg D S, Jackson F L, Bryan L E
Can Med Assoc J. 1976 Dec 4;115(11):1091-3.
Urine samples from 3564 girls aged 2 to 13 years were screened for evidence of infection. Cultures were positive (bacteria count, more than 10(5)/ml) in 61 (1.7%) by the dipslide method and in 55 (1.5%) by standard culture techniques. In 13 (23.6%) of the 55, antibody-coated bacteria (ACB) were detected in the urine. The clinical, bacteriologic, radiologic and urinalysis findings in children with ACB were no different from those in children in whom the bacteria were not coated. Direct examination of uncentrifuged urine under high power revealed one or more bacteria per two high-power fields in 96% of infected urine samples and in only 7% of noninfected samples. Five or more leukocytes per high-power field in centrifuged urine were detected in 36.7% of infected urine samples but not in noninfected samples. The ACB test did not differentiate between asymptomatic bacteriuria with parenchymal scarring or vesicoureteral reflux or both and asymptomatic bacteriuria without these abnormalities.
对3564名2至13岁女孩的尿液样本进行感染证据筛查。浸片法检测时，61份样本（1.7%）培养呈阳性（细菌计数超过10⁵/ml），标准培养技术检测时，55份样本（1.5%）培养呈阳性。在这55份培养阳性样本中，13份（23.6%）尿液中检测到抗体包裹细菌（ACB）。有ACB的儿童与细菌未被包裹的儿童在临床、细菌学、放射学及尿液分析结果方面并无差异。高倍镜下直接检查未离心尿液发现，96%的感染尿液样本每两个高倍视野中有一个或多个细菌，而未感染样本中这一比例仅为7%。离心尿液中每高倍视野有五个或更多白细胞在36.7%的感染尿液样本中被检测到，未感染样本中未检测到。ACB检测无法区分伴有实质瘢痕或膀胱输尿管反流或两者皆有的无症状菌尿与不伴有这些异常的无症状菌尿。
