Screening Urinalysis in Detection of Chronic Kidney Disease in Children
In this issue of the Journal, Suthar et al. report results of urinalysis in 3340 children in a screening program in 17 government schools in Ahmedabad . Urinalysis was abnormal in 5.8% patients, most commonly due to isolated proteinuria or hematuria (2% each); hematuria with proteinuria was rare at 0.2%. As discussed by the authors, these findings are similar to those in reports of school screening programs across Asia [2, 3, 4]. While the authors report differences based on sex and age, the clinical significance of their findings is unclear. The authors report asymptomatic bacteriuria in approximately 3% children, which is not equivalent to urinary tract infection and has unclear relevance in the medium- or long-term .
Prospective screening studies emphasize that the diagnosis of isolated microscopic hematuria should be made following 2–3 urinalysis, 1–2 wk apart. A number of conditions, including febrile illnesses, may result in transient microscopic hematuria and or...
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- 1.Suthar KS, Vanikar AV, Nigam LA, et al. Urinary screening for early detection of kidney diseases. Indian J Pediatr. 2017; https://doi.org/10.1007/s12098-017-2494-y.
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