The CARI Guidelines – Caring for Australians with Renal Impairment Urine Protein as Diagnostic Test (October 2004) 3. Evaluation of Proteinuria in Children
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چکیده
Proteinuria in a single urine specimen is relatively common in children, with a reported prevalence between 1%-10% (Hogg et al 2000; K/DOQI guidelines, Guideline1, Part 4). However, persistent proteinuria is much less common, with one American study of nearly 9000 school children reporting proteinuria in 1 out of 4 samples in 10.7% of children, but proteinuria in all 4 samples in only 0.1% (Vehaskari et al (1982)). A screen of 9355 South Australian school children reported a low prevalence of proteinuria (0.25%). One third of these children were found to have significant renal disease (Hogg et al 1998).
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The CARI Guidelines – Caring for Australians with Renal Impairment Urine Protein as Diagnostic Test
• Diabetes and Aboriginal and Torres Strait Islanders. Initial testing for albuminuria is preferred to proteinuria as it allows detection of early nephropathy. In patients with established nephropathy there is no evidence that either test is superior. Recommendation: Initial test – urine ACR. Subsequent testing: initial test negative or microalbuminuria – repeat urine ACR initial test macroalbu...
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