Screening for asymptomatic proteinuria and haematuria in children in El-ferdous Village / White Nile State/ Sudan
Elsharif Ahmed Bazie, Omer Saeed Magzoub
Journal Title:Basic Research Journal of Medicine and Clinical Science
Mass screening for proteinuria and haematuria enhances the awareness of renal diseases and improves the chances for an early diagnosis and therapy. Early diagnosis is the cornerstone for prevention of kidney failure. Even if progression cannot be slowed, patients who have been diagnosed early have better survival when commencing renal replacement therapy. Objectives: The objective of this study is to determine asymptomatic renal disease in children in particular proteinuria and haematuria in asymptomatic children. Subjects and methods: It is a community based study of prevalence of asymptomatic proteinuria and haematuria in children at Elferdous village-White Nile State where 213 children aged 2-18 years were included. A detailed history, a thorough clinical examination, a questionnaire and a full renal profile was done for each child with proteinuria, haematuria or both. The data was collected and analyzed using SPSS version 18. Results: The data was collected from 213 children. Male to female ratio was 1.31:1. Their age ranged from 2-18 years. 25 children (11.7%) were found to have proteinuria. Those with haematuria were also found to be 25 children (11.7%). 7 children (3.3%) of those with haematuria had schistosomiasis and 14 children (6.5%) had both proteinuria and haematuria. All of them had normal renal profile and normal GFR. Conclusion and recommendation: The prevalence of proteinuria and haematuria was significant. Urinary screening programmes in children must be a routine especially in school age children. Those with proteinuria need more renal investigations while those with haematuria we need to look for other causes for haematuria e.g. bilharsiasis.
Keywords: asymptomatic proteinuria, haemtaturia, children Sudan.