Urine Analysis Screening Among School Children from El-Gharbiya Governorate for Prediction of Asymptomatic Urinary Abnormalities

Abstract

The major health consequences of chronic kidney diseases (CKD) include not only progression to kidney failure but also an increased risk of cardiovascular diseases. To reduce the number of patients with both end stage renal diseases (ESRD) and cardiovascular diseases, effective screening and treatment methods for CKD should be established. Urine analysis remains the best device for screening at the present time and this is the method for which most data are available. Urine is usually screened for evidence of blood, protein, glucose or bacteria. Hematuria, proteinuria and/or glucosuria are probably most often related to renal pathology. Mass school urine screening programs can detect chronic renal diseases in early stags. Early recognition and treatment of CKD-related complications lead to improved growth, development and the quality of life in children with this chronic condition. Mass urinary screening helps to determine the prevalence of renal diseases. American Academy of Pediatrics recommends a screening dipstick urine analysis at the age of 5 in preschool children. Mass urine screening program was applied in a number of Asian countries. Our study was undertaken to detect the prevalence of asymptomatic urinary abnormalities among primary and preparatory school students in Elgharbiya governorate, Egypt. 1500 healthy students were included in this study. They were 735 (49%) boys and 765 (51%) girls. The age of the students ranged from 7 to 15 years with mean ± SD of 11.33 ± 2.21.