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IJSTR >> Volume 9 - Issue 3, March 2020 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



Prevalence Of Protienuria In A Symptomatic School Children From September 2018 To March 2019

[Full Text]

 

AUTHOR(S)

Omaima A.E.Mohammed, Suheir A. M. Sayed , Alwyia A. A GENDEL, El-Tigani M.A. Ali

 

KEYWORDS

Prevalence , Asymptomatic proteinuria , Schools , BahriWasat and Khartoum north administrative unit,

 

ABSTRACT

Background:Asymptomatic proteinuria is a common finding in primary care practice. Proteinuria in asymptomatic children especially if persistent and significant may be an early marker of chronic kidney disease, however global controversy exists regarding the cost effectiveness of screening program in detection and prevention of chronic kidney disease in children. Objective:To study the prevalence of proteinuria in asymptomatic school children in BahriWasat administrative unit in Khartoum North Locality, Khartoum State, Sudan. Methods This was a descriptive, cross-sectional, community-based study , that was conducted in schools located in BahriWasat administrative unit, in Khartoum north locality within the period from September 2018 –March 2019 and covered 430 schoolchildren selected by multiple stage stratified sampling. Clean midstream urine was collected in a clean plastic container from participants; urine sample was examined by dipstick method for proteinuria, and. Data collected, prepared, entered, and analyzed using SPSS version 25.0. Results This study covered 430 study participants. Concerning the results of urinary screening by dipstick, our study realized that the prevalence of proteinuria was 32(7.4%). Only 2(6.3%) of participants (who were positive for protein urea by dipstick), were significantly positive for early morning urine albumin who represent only (0.5%) of all study participants. Half of them were 50th – 90th BP centile, the mean of GFR 84.5 ml /mim/1.73 m2, Urea 24.5 mg, Creatinine 0.8 mg, and Urine albumin creatinine ratio found to be 31.0 mg of albumin /g of creatinine. The analysis found that there was no significant difference in the prevalence of proteinuria according to the gender (the prevalence was (7.5%) among males compared with (7.4%) among females with p-value = 0.97). There was no significant difference in the prevalence of proteinuria according to the age (the prevalence was (7.5%) among participants who age 5-10 years compared with (7.4%) among participants who age 11 - 15 with p-value = 0.97). Conclusion and recommendation: this study showed that the prevalence of proteinuria is 7.4 %, which similar to most study worldwide and we recommended no more screening for proteinuria by dipstick because it is not cost-effective and less sensitive and less specific in early detection of CKD.

 

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