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Stanley Hellerstein, MD; Eileen Kennedy, MD; Piush Sharma, MD; Harvey Grossman, MD
The Children's Mercy Hospital Kansas City, Mo

JAMA. 1979;241(8):789.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The article by Harding et al (240:1147,1978) provides data that support the observations of Thomas et al¹ and Jones et al² and show a clear correlation between antibody-coated bacteria (ACB) in the urinary sediment and infection of the upper urinary tract. These three studies were done in adults. In contrast, our study³ of pediatric patients, which used the bladderwashout test to define the level of the urinary tract infection, showed poor correlation between the presence of ACB in the urinary sediment and upper urinary tract infection. We are unable to explain these differences. However, one source of confusion in the published data is a consequence of the lack of uniform test criteria concerning what constitutes a urinary sediment that is positive for ACB.

Our updated experience with the relationship between ACB in the urinary sediment and localization of the site of infection by bladderwashout . . . [Full Text PDF of this Article]

Footnotes
Edited by John D. Archer, MD, Senior Editor.

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