Epidemiological urinalysis of children from kindergartens of Can Gio, Ho Chi Minh City - Vietnam
| Autor: | Thi Kim Hoa Pham, Annie Robert, Françoise Janssen, Françoise Smets, Ngoc Hue Doan, Le Nhu Nguyet Dang, Mong Hiep Tran Thi, Thi Le Binh Doan |
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| Přispěvatelé: | UCL - SSS/IREC/PEDI - Pôle de Pédiatrie, UCL - SSS/IREC/EPID - Pôle d'épidémiologie et biostatistique, UCL - (SLuc) Service de gastro-entérologie et hépatologie pédiatrique |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Bacteriuria Urinalysis Cross-sectional study Pédiatrie Urine Leukocyte Count Residence Characteristics Chronic kidney disease Epidemiology medicine Dipstick Humans Mass Screening Pediatrics Perinatology and Child Health Nitrites Mass screening Reagent Strips Urine cytology Population Density Urinary screening medicine.diagnostic_test Can Gio business.industry medicine.disease Surgery Cross-Sectional Studies Early Diagnosis Vietnam Child Preschool Asymptomatic Diseases Pediatrics Perinatology and Child Health Female Kidney Diseases business Research Article |
| Zdroj: | BMC Pediatrics, Vol. 13, no. 183, p. 2-7 (2013) BMC pediatrics, 13 (1 BMC Pediatrics |
| Popis: | Background: Recent studies on Vietnamese children have shown that kidney diseases are not detected early enough to prevent chronic renal failure. The dipstick test is a simple and useful tool for detecting urinary abnormalities, especially in isolated or remote areas of Vietnam, where children have limited access to health care.Methods: This cross-sectional study was conducted in 2011 at seven kindergartens in Can Gio district, Ho Chi Minh City, Vietnam. Two thousand and twelve children, aged 3 to 5, were enrolled. Morning mid-stream urine samples were examined by dipstick. Children with abnormal findings were re-examined with a second dipstick and underwent further investigations.Results: Urinalysis was available for 1,032 boys and 980 girls. Mean age was 4.4 ± 0.8 years. Urinary abnormalities were detected in 108 (5.5%) of the subjects. Among them, nitrituria and leucocyturia accounted for more than 50%. Positive fractions of proteinuria, hematuria, nitrituria, leucocyturia, and combined nitrituria and leucocyturia after two dipsticks were 0.1%, 0.1%, 2%, 1% and 0.3%, respectively. Abnormal findings were more common in girls than boys (p < 0.001), and higher in communes with very low (< 50 persons/km2) population density (14.3% vs 4.1%, p < 0.001). A renal ultrasound detected four cases of hydronephrosis and one case of duplication of ureter.Conclusions: The prevalence of urinary abnormalities in asymptomatic children in South Vietnam demonstrates the need for hygiene education among parents. Training for dipstick usage for all medical staff at health stations, especially in remote areas and in places with very low population density, is also clearly necessary. Routine urinalysis can be set up if a close control is conducted at locations. © 2013 Dang et al. licensee BioMed Central Ltd. SCOPUS: ar.j info:eu-repo/semantics/published |
| Databáze: | OpenAIRE |
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