Author/Authors :
Parakh, Prince Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Bhatta, Nisha K Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Mishra, om P Department of Pediatrics - Institute of Medical Sciences - Banaras hindu University - Varanasi, India , Shrestha, Pramod Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Budhathoki, Sunil Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Majhi, Shankar Departments of Biochemistry - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Sinha, Arvind Departments of Pathology - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Dhungel, Kanchan Departments of Radiodiagnosis and Imaging - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , Prabhakar, Rahul Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal , haldhar, Niladri Departments of Pediatrics and Adolescent Medicine 1 - B. P. Koirala Institute of health Sciences (BPKIhS) - Dharan, Nepal
Abstract :
Background: Urinary screening tests for early detection of renal diseases in asymptomatic
school children and adolescents are important in the detection of silent renal
diseases.
Objectives: The purpose of the study was to determine the prevalence of occult renal
diseases by dipstick test (reagent strips) in asymptomatic Nepalese children.
Patients and Methods: A total of 2,243 school children, aged 5–15 years, were screened
for urinary abnormalities using dipstick test screening. The children who tested positive
in the first screening were re-tested after 2–4 weeks.
Results: In the first screening, 123 children (5.5%) tested positive for isolated hematuria
and proteinuria and for combined hematuria and proteinuria. of these children, 16
(0.71%) cases tested positive in a second screening. Subsequently, 1 child from the secondary
screening group was lost to follow up, 5 tested normal and 10 revealed abnormalities.
Glomerulonephritis was the most commonly detected disorder (50%).
Conclusions: Urinary screening was found to be useful in identifying occult renal diseases
in asymptomatic children. Urinary screening would therefore not only help in early
detection but also in the prevention of the deterioration of renal function later in life.
