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[Detection of nephro-urologic changes in infants using reactive strips. Experience at a puericulture practice]
C Bonilla Miera1, A Rollán Rollán, A González de Aledo Linos
1Servicio de Puericultura, Dirección Regional de Sanidad, Santander.
Insights
Routine urine screening for children under two can detect asymptomatic bacteriuria and associated kidney issues. Early detection in primary pediatric offices is recommended due to the prevalence of these conditions.
Area of Science:
- Pediatrics
- Urology
- Microbiology
Context:
- A screening program for urine alterations was conducted in a puericulture office involving 1,251 children under two years old.
- The screening utilized reactive strips to detect potential urine abnormalities at five and eighteen months of age.
Purpose:
- To determine the prevalence of asymptomatic bacteriuria in children under two.
- To investigate the frequency of associated nephrourologic alterations in children with asymptomatic bacteriuria.
- To evaluate the feasibility and suggest optimal settings for urine abnormality detection programs.
Summary:
- The study identified eight cases of asymptomatic bacteriuria in girls (1.37%) and eight in boys (1.19%).
- Among those with bacteriuria, 37.5% of girls and 12.5% of boys had confirmed uropathies.
- The findings suggest that primary pediatric offices are suitable settings for this type of screening.
Impact:
- Highlights the significance of early detection of urinary tract infections and related conditions in young children.
- Provides evidence supporting the implementation of cost-effective screening methods in primary care.
- Informs pediatricians about the prevalence of asymptomatic bacteriuria and associated risks, guiding clinical practice.
Abstract:
In a group of 1.251 children under two (669 boys and 582 girls) that attended a puericulture office a detection program of urine alterations through reactive strips was carried out (at five and eighteen months). Eight asymptomatic bacteriurias in girls (1.37 per cent) and eight in boys (1.19 per cent) were confirmed. Of them the frequency of uropathies found was of a 37.5 per cent in girls and a 12.5 per cent in boys. Because of the frequency of asymptomatic bacteriuria, the possible associated nephrourologic alteration and the high cost of the method, we suggest the practice of this detection in primary pediatric offices on children under two.