Okur Mesut, Arslan Sukru, Sami Guven Ahmet, Temel Hayrettin, Selcuk Bektas Mehmet, Ustyol Lokman
1Department of Pediatrics, School of Medicine, Duzce University, Duzce, 2Department of Pediatric Nephrology, 3Department of Pediat- rics; School of Medicine, Yuzuncu Yil University, Van; Turkey.
Med Glas (Zenica). 2013 Feb;10(1):55-8.
To prevent possible chronic kidney diseases in healthy school- age children by screening for hematuria and proteinuria using a urine strip.
The incidence of hematuria and proteinuria was determined in 1848 healthy school-age children aged 7 to 14 years by urine screening in the eastern region of Turkey in 2008. Cases with persistent hematuria and/or proteinuria were referred to a pediatric nephrologist, and further examinations were carried out.
Isolated hematuria, isolated proteinuria, and combined hematuria-proteinuria were found in 92 (4.9%), 16 (0.8%) and 10 (0.5%) patients, respectively. In addition, 11.9% (11/92) of cases of isolated hematuria and 40% (4/10) of cases of combined hematuria- proteinuria were observed to have persisted. Persistent hematuria and persistent hematuria-proteinuria were found in 11 (0.5%) and 4 (0.2%) patients, respectively. In these cases, underlying causes were found: renal stone disease, hypercalciuria, urinary tract infection, vesicoureteral reflux, atrophic kidney, and IgA nephropathy.
According to this study, cases with persistent hematuria should be examined especially in terms of renal stones, hypercalciuria, and urinary tract infection.
通过使用尿试纸筛查血尿和蛋白尿，预防健康学龄儿童可能出现的慢性肾脏疾病。
2008年在土耳其东部地区对1848名7至14岁的健康学龄儿童进行尿液筛查，以确定血尿和蛋白尿的发生率。持续性血尿和/或蛋白尿的病例被转诊至儿科肾病专家处，并进行进一步检查。
分别在92例（4.9%）、16例（0.8%）和10例（0.5%）患者中发现孤立性血尿、孤立性蛋白尿和血尿-蛋白尿合并症。此外，观察到11.9%（11/92）的孤立性血尿病例和40%（4/10）的血尿-蛋白尿合并症病例持续存在。分别在11例（0.5%）和4例（0.2%）患者中发现持续性血尿和持续性血尿-蛋白尿。在这些病例中，发现了潜在病因：肾结石病、高钙尿症、尿路感染、膀胱输尿管反流、萎缩性肾脏和IgA肾病。
根据本研究，对于持续性血尿病例，应特别检查肾结石、高钙尿症和尿路感染方面的情况。
