Case finding in the elderly: do general practitioners really know enough?

significance.In a recent study urinary tract abnormalities were found in 47% of children investigated as a result of this finding.'Dr Smyth and her colleagues ask for an agreed common approach to the investigation and management of urinary tract infection in children.Until studies of the different investigation protocols are completed, and in view of the variable facilities available, an approach is unlikely to be agreed.It is paramount, however, that recurrent or persistent infection should be promptly detected and appropriately acted upon.I have recently attempted to set out protocols, both for general practitioners and for paediatricians, which, provided that good microbiological facilities are available, may be used to determine pathways of investigation and management appropriate to the individual child.4