Clinico-epidemiological profile of children with of asymptomatic phase of renal disease

Abstract

Pyuria is defined as more than 5WBCs/mm3 of urine and if this definition is taken into consideration it correlates in 90% cases of UTI. However, pyuria may be masked in significant infections due to Proteus, Klebsiella and Pseudomonas due to disintegration of White Blood Cells caused by alkaline condition produced by these urease positive organisms. Children were subjected to physical examination, blood pressure recording and urine was collected and further analyzed. All children were advised to collect mid stream clean catch urine sample under strict aseptic precautions. The collected urine samples were tested for protein, blood and bacteria by dipstick method and microscopy rapid screening test like griess nitrate test was done. 95% of the children had no RBCs in urine. 2.8% showed 1-5 RBCs/ HPF. Significant hematuria (> 5 RBCs/ HPF) was seen in 2.2% of children.