Urine analysis with dipstick test in asymptomatic 7‑year‑old children
نویسندگان
1 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran,
2 Department of Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran
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4 Department of Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran
5 Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
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چکیده
INTRODUCTION: The incidence of renal failure in children is increasing worldwide, and most renaldiseases do not show clinical symptoms for the patient. Moreover, given the importance of screening forpatient identification and prevention planning that result from screening, the present study was performed.METHODS: This cross‑sectional study was performed on 292 children aged 7 years who referredto Neyshabur health centers during 2017–2018. In addition, sampling was clustered. The first urinesample was taken in the morning, and the dipstick test was performed. Data were analyzed usingSPSS software version 11.5 and Mann–Whitney, Chi‑square, and Pearson’s tests.RESULTS: Of the 292 children, 142 (48.6%) were male and 150 (51.4%) were female. All the boys hadbeen circumcised. The children were 7‑year‑old. Urinary tract problems were present in 31 (10.61%)children. Urinary problems were observed in 163 children (55.82%) considering crystalluria. Somechildren had more than one type of urinary disorder. Pyuria was the most common disorder in13 (8.7%) of the studied children, and proteinuria was the least common. Nitrite and hemoglobinwere not found in the urine of the studied children. There was a statistically significant relationshipbetween gender and white blood cell count (P < 0.001), crystalline oxalate (P = 0.004), and specificgravity (P = 0.009). There was also a statistically significant relationship between urinary‑specificgravity and pH (P < 0.001).CONCLUSION: Asymptomatic urinary problems may be identified by screening tests in school‑agedchildren. Therefore, it is necessary to determine the exact cause of the obtained abnormal resultsand determine whether or not they are related to renal disease in order to reduce the number ofpeople with untreated renal diseases in future.