Screening of Kidney Disease in Asymptomatic Female College Students by Urine Dipstick Method

S. Chhetri, D. Shah
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Abstract

Introduction Urine examination by urine dipstick method is a useful tool to identify asymptomatic individual for kidney disease. A urine dipstick analysis was conducted on world kidney day to determine the urine abnormalities among asymptomatic female college students. Methods A cross-sectional study was carried out in a government female college in Kathmandu Nepal. Three hundred asymptomatic female students participated in this study. Fresh midstream urine samples were obtained and tested by urine dipstick method. Random Blood glucose was monitored with glucometer. Blood pressure was measured by manual sphynomanometer. Results The mean age of the female students was 22.62±2.686 years. Fifteen participants (5%) were found positive for proteinuria and only 1% of participants had glycosuria. The systolic blood pressure of >120 mm Hg was present in 14% of participants while 5% of participants had diastolic blood pressure of >90mm Hg. Participants who were found to have urinary proteinuria detected had both systolic and diastolic blood pressure increased. Only 8% of the participants had random blood sugar of >140 mg/dl. Conclusion Urinary abnormalities like proteinuria and glycosuria in asymptomatic female students has significant prevalence. Systemic prehypertension and hypertension has alarming rates among adolescents. Hence, screening for blood pressure and early detection of renal disorders will lead to effective interventions and possibly reduce the burden of renal diseases.
尿检法筛查无症状女大学生肾脏疾病
尿试纸尿检是鉴别无症状肾脏疾病个体的有效工具。在世界肾脏日进行尿试纸分析,以确定无症状女大学生的尿液异常。方法在尼泊尔加德满都一所公立女子学院进行横断面研究。300名无症状女学生参与了这项研究。取新鲜中游尿样,用尿试纸法检测。随机用血糖仪监测血糖。用手动血压计测量血压。结果女学生平均年龄为22.62±2.686岁。15名参与者(5%)发现蛋白尿阳性,只有1%的参与者有糖尿。14%的参与者收缩压为>120毫米汞柱,5%的参与者舒张压为>90毫米汞柱。检测到尿蛋白尿的参与者收缩压和舒张压均升高。只有8%的参与者的随机血糖为100 - 140毫克/分升。结论无症状女学生中蛋白尿、糖尿等泌尿系统异常发生率较高。全身性高血压前期和高血压在青少年中发病率惊人。因此,筛查血压和早期发现肾脏疾病将导致有效的干预,并可能减少肾脏疾病的负担。
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