Clinico-epidemiological profile of children with of asymptomatic phase of renal disease

Khizerulla Sharief, Venkatesh Ks, M. VeeralokanadhaReddy, B. Kiran
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Abstract

Pyuria is defined as more than 5WBCs/mm 3 of urine and if this definition is taken into consideration it correlates in 90% cases of UTI. However, pyuria may be masked in significant infections due to Proteus, Klebsiella and Pseudomonas due to disintegration of White Blood Cells caused by alkaline condition produced by these urease positive organisms. Children were subjected to physical examination, blood pressure recording and urine was collected and further analyzed. All children were advised to collect mid stream clean catch urine sample under strict aseptic precautions. The collected urine samples were tested for protein, blood and bacteria by dipstick method and microscopy rapid screening test like griess nitrate test was done. 95% of the children had no RBCs in urine. 2.8% showed 1-5 RBCs/ HPF. Significant hematuria (> 5 RBCs/ HPF) was seen in 2.2% of children.
儿童肾脏疾病无症状期临床流行病学分析
脓尿被定义为超过5wbc / mm3的尿液,如果考虑到这一定义,它与90%的尿路感染病例相关。然而,脓尿可能在由变形杆菌、克雷伯氏菌和假单胞菌引起的严重感染中被掩盖,因为这些脲酶阳性生物产生的碱性条件导致白细胞解体。对患儿进行体格检查,记录血压,收集尿液并进一步分析。建议所有儿童在严格的无菌预防措施下收集中游干净的捕获尿液样本。采集的尿样采用试纸法检测蛋白质、血液和细菌,并进行镜下快速筛选试验如硝态氮试验。95%的儿童尿液中没有红细胞。2.8%为1-5个红细胞/ HPF。2.2%的儿童出现明显血尿(> 5红细胞/ HPF)。
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