Urinary tract infection: Difference between revisions

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  |issue=1
  |issue=1
  |pages=123-132
  |pages=123-132
}}</ref> so the majority of its young male client population would have necessarily remained [[intact]]. The observation that 95% of the boys were not circumcised, therefore, indicated nothing more than that the majority of male infant patients at Parkland Hospital were not circumcised.
}}</ref> so the majority of its young male client population would have necessarily remained [[intact]]. The observation that 95% of the boys were not [[circumcised]], therefore, indicated nothing more than that the majority of male infant patients at Parkland Hospital were not circumcised.


Wiswell's retrospective reviews of old hospital records failed to take a few factors into account:
Wiswell's retrospective reviews of old hospital records failed to take a few factors into account:
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}}</ref> There is a significant false-positive rate in diagnosing UTI when [[urine]] cultures alone are used.<ref name="Mueller 1997"/><ref name="Saez-Llorens 1989"/> This criticism was addressed to some extent in Wiswell's second review.<ref name="Wiswell 1986"/>
}}</ref> There is a significant false-positive rate in diagnosing UTI when [[urine]] cultures alone are used.<ref name="Mueller 1997"/><ref name="Saez-Llorens 1989"/> This criticism was addressed to some extent in Wiswell's second review.<ref name="Wiswell 1986"/>


* The hospital chart data used in the retrospective studies are unreliable. Hospitals frequently omit to record a circumcision on a baby's chart. In Atlanta, O'Brien found that circumcision was recorded only 84.3% of the time for circumcised boys.<ref>{{REFjournal
* The hospital chart data used in the retrospective studies are unreliable. Hospitals frequently omit to record a [[circumcision]] on a baby's chart. In Atlanta, O'Brien found that circumcision was recorded only 84.3% of the time for circumcised boys.<ref>{{REFjournal
  |last=O'Brien
  |last=O'Brien
  |init=TR
  |init=TR
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  |issue=88
  |issue=88
  |pages=411-415
  |pages=411-415
}}</ref> If the records used in the retrospective bacteriuria studies are similarly inaccurate, then a statistically significant number of the infants with bacteriuria that were claimed to be intact were, in fact, circumcised. This would naturally overstate the rate of infection in intact boys.<ref>{{REFjournal
}}</ref> If the records used in the retrospective bacteriuria studies are similarly inaccurate, then a statistically significant number of the infants with bacteriuria that were claimed to be [[intact]] were, in fact, [[circumcised]]. This would naturally overstate the rate of infection in intact boys.<ref>{{REFjournal
  |last=Van Howe
  |last=Van Howe
  |init=RS
  |init=RS