يافته هاي غيرطبيعي در آزمايش ادرار كودكان سنين مدرسه در شهر همدان

Abnormal urinary findings in school aged children in Hamedan

Introduction: The importance of renal diseases and prevention of them encouraged us to carry out this study. Our purpose was to determine the prevalence of abnormal urinary findings in school aged children in Hamedan. Material and Methods: We have investigated 800 students (400 boys and 400 girls) aged 10-11 years from the school population of Hamedan city. Fresh urine specimens were screened using a dipstick for chemical analysis. In those patients in whom urinary abnormalities were found, further investigations, urine analysis, urine culture and sonography of urinary system, were carried out. Results: The prevalence of proteinuria, hematuria, hemoglobinuria, positive nitrites in urine, glucosuria and bilirubinuria were 1.4%, 4.1%. 11.5%, 0.75%, 0.1% and 0.75% respectively. There was no statistically significant difference between prevalence of abnormal urinary findings in girls and boys except for positive nitrites in urine. Positive nitrites in urine were detected only in girls. In further evaluations, we found five cases of urinary tract infection, two cases of orthostatic proteinuria and one case of diabetes mellitus. Conclusion: The most frequent abnormal finding in our study was hemoglobinuria. Other abnormal findings, in order of frequency, were hematuria, proteinuria, positive nitrites in urine and bilirubinuria, and then glucosuria. According to significance of final findings in this study, we suggest performing of dipstick test for girls and boys before attending in the primary school.