The Indian Journal of Pediatrics

, Volume 85, Issue 8, pp 603–604 | Cite as

Screening Urinalysis in Detection of Chronic Kidney Disease in Children

  • Aditi SinhaEmail author
  • Arvind Bagga
Editorial Commentary

In this issue of the Journal, Suthar et al. report results of urinalysis in 3340 children in a screening program in 17 government schools in Ahmedabad [1]. Urinalysis was abnormal in 5.8% patients, most commonly due to isolated proteinuria or hematuria (2% each); hematuria with proteinuria was rare at 0.2%. As discussed by the authors, these findings are similar to those in reports of school screening programs across Asia [2, 3, 4]. While the authors report differences based on sex and age, the clinical significance of their findings is unclear. The authors report asymptomatic bacteriuria in approximately 3% children, which is not equivalent to urinary tract infection and has unclear relevance in the medium- or long-term [5].

Prospective screening studies emphasize that the diagnosis of isolated microscopic hematuria should be made following 2–3 urinalysis, 1–2 wk apart. A number of conditions, including febrile illnesses, may result in transient microscopic hematuria and or...


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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Division of Nephrology, Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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