İLKÖĞRETİM ÇAĞINDAKİ ÇOCUKLARDA İDRAR DİPSTİCK TARAMA TESTİ SONUÇLARI

Öz

Amaç: Renal hastalıklar herhangi bir semptoma neden olmadan hematüri ve proteinüri ile ortaya çıkabilirler. Çalışmamızın amacı sağlıklı, okul çağındaki çocuklarda idrar analizi anormalliklerinin idrar dipstick testi ile değerlendirilmesidir. Gereç ve Yöntem: Yaşları 9-10 aralığında olan 1052 (541, erkek, 511 kız) çocuğun idrar dipstick test sonuçları değerlendirildi. İlk idrar analizinde anormallik tespit edilen çocuklarda kalıcı hematüri ve proteinürinin değerlendirilmesi için ikinci bir idrar dipsitick testi yapıldı. Bulgular: Anormal idrar dipstick test sonucu 137 (%13) hastada tespit edildi. On altı (%1,5) çocukta izole hematüri, 22 (%2,1) çocukta izole proteinüri ve bir (%0,1) çocukta kombine hematuria ve proteinuri tespit edildi. İkinci idrar dipsitick testinde hematürinin yanlızca 8 çocukta (%0,8) ve proteinurinin 2 (%0,2) çocukta persiste ettiği görüldü. Ayrıca ilk idrar analizinde 96 (%9,1) çocukta lökosit esteraz pozitifliği, 18 (%1,7) çocukta nitrit pozitifliği, 10 (%0,95) çocukta hem lökosit esteraz hem de nitrit pozitifliği tespit edildi. Sonuç: Çalışmamızın sonuçlarında ikinci bir idrar analizi yapıldığında hematüri ve proteinüri sıklığının düştüğü görülmüştür. Bu nedenle izole hematüri ya da proteinüri saptanan asemptomatik hastalar ikinci bir idrar analizi ile yeniden değerlendirilmelidir. Çalışmamızın sonuçları okul çağı çocuklarında dipstick tarama testi ile hematüri ve proteinüri tespit edilebileceğini ve bu durum böbrek hastalıklarının asemptomatik döneminin bulgusu olabileceğini göstermektedir.

Anahtar Kelimeler

• Çocuk
• dipstick
• hematuri
• proteinüri
• tarama
• idrar analizi

RESULTS OF URINE DIPSTICK SCREENING TEST IN ELEMENTARY SCHOOL CHILDREN

Öz

Objective: Renal diseases may present with proteinuria, hematuria and pyuria without any symptoms. The aim of the study is to determine of urinalysis abnormalities by urine dipstick screening program in healthy school-aged children. Material and Method: We evaluated results of urine dipstick tests of 1052 children (541 male, 511 female) between the ages of 9 and 10. A second urine dipstick test was performed on those students who had hematuria and/or proteinuria in the first test. Results: Abnormality in urine dipstick test was detected in a total of 137 (13%) children. Sixteen cases had isolated hematuria (1.5%), 22 cases isolated proteinuria (2.1%) and one case (0.1%) combined hematuria-proteinuria. In the second evaluation with the dipstick test, we determined that hematuria persisted only in 8 (0.8%) and proteinuria in 2 cases (0.2%). Additionally, 96 cases (9.1%) were positive for leucocyte-esterase, and 18 cases (1.7%) were nitrite positive in the first screening. Conclusion: Our findings revealed that prevalence of hematuria and proteinuria was reduced in the second urine dipstick screening. Therefore, asymptomatic patients with isolated proteinuria or hematuria should be re-evaluated with a urine dipstick. Our study suggests that with the help of screening tests in schoolaged children; hematuria, and proteinuria can be determined and this might be an indication for the asymptomatic period of a kidney disease.

Anahtar Kelimeler

• Children
• dipstick
• hematuria
• proteinuria
• screening
• urinalysis

Kaynakça

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