Screening Urinalysis in Detection of Chronic Kidney Disease in Children

Excerpt

In this issue of the Journal, Suthar et al. report results of urinalysis in 3340 children in a screening program in 17 government schools in Ahmedabad [1]. Urinalysis was abnormal in 5.8% patients, most commonly due to isolated proteinuria or hematuria (2% each); hematuria with proteinuria was rare at 0.2%. As discussed by the authors, these findings are similar to those in reports of school screening programs across Asia [2‐4]. While the authors report differences based on sex and age, the clinical significance of their findings is unclear. The authors report asymptomatic bacteriuria in approximately 3% children, which is not equivalent to urinary tract infection and has unclear relevance in the medium- or long-term [5]. …