沙特阿拉伯西部学龄前儿童尿液异常筛查
Screening for urine abnormalities among preschool children in western Saudi Arabia.
作者信息
Alharthi Abdulla A, Taha Azza A, Edrees Awatif E, Elnawawy Ali N, Abdelrahman Azza H A
机构信息
Pediatric Nephrology Department, College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia. E-mail.
出版信息
Saudi Med J. 2014 Dec;35(12):1477-81.
OBJECTIVES
To estimate the frequency of urinary problems among preschool children.
METHODS
In this cross-sectional study, 1000 preschool asymptomatic children attending the outpatient clinics of the Children's Hospital, Taif, Kingdom of Saudi Arabia between August 2013 and December 2013 were subjected to dipstick urine analysis. Microscopic examination was performed for the abnormal dipstick samples, and children with hematuria were investigated for kidney function.
RESULTS
Dipstick urine analysis revealed abnormal findings in 25.1% of the screened children. The most common dipstick abnormalities were positive nitrite test in 18.1%, hematuria in 16.9%, and positive leukocyte esterase test in 14.3% of the cases. The most common abnormality in microscopic urine examination was crystals in 13% of the cases. Pyuria were evident in 5% of cases and hematuria in 2.5%. The most common bacteria in positive urine culture samples was Escherichia coli in 62.6%.
CONCLUSION
In view of these important findings, dipstick screening should be implemented in preschool children.
目的
评估学龄前儿童泌尿系统问题的发生率。
方法
在这项横断面研究中，于2013年8月至2013年12月期间，对沙特阿拉伯王国塔伊夫市儿童医院门诊的1000名无症状学龄前儿童进行了尿试纸分析。对尿试纸检测结果异常的样本进行显微镜检查，并对血尿患儿进行肾功能检查。
结果
尿试纸分析显示，25.1%的受检儿童存在异常结果。最常见的尿试纸异常为：18.1%的病例亚硝酸盐试验呈阳性，16.9%的病例出现血尿，14.3%的病例白细胞酯酶试验呈阳性。显微镜下尿液检查最常见的异常是13%的病例出现结晶。5%的病例有脓尿，2.5%的病例有血尿。尿培养阳性样本中最常见的细菌是大肠杆菌，占62.6%。
结论
鉴于这些重要发现，应在学龄前儿童中开展尿试纸筛查。
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