Screening for proteinuria and glycosuria among dental patients in Benin City

O. Obuekwe, C. Odai, C. Azodo, O. Akpata, M. Ojo
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Abstract

Objective: To screen for the presence of proteinuria and glycosuria amongst patients attending for routine care in a dental clinic in Benin- City, Edo State, Nigeria. Method: A prospective survey over a period of thirty-six months involving all new consecutive and consenting patients. All consenting patients, yet to have breakfast and with no history of previous screening for proteinuria and glycosuria were screened, using Clinistix test strips. Medical and drug history, and relative risk were given due considerations in patient selection. Athletes, specifically marathon runners were excluded. Findings were analysed as simple frequency tables and percentages. Results: A total of four thousand, four hundred and ninety patients who attended the Oral Diagnosis Clinic of the Faculty of Dentistry, University of Benin and met inclusion criteria were screened. Fifty three (1.2%) positive cases of glycosuria were recorded. The male: female ratio was 1:1.1 and the majority of patients (49%) were in age group 19-29 years. Forty three (1.0%) were positive, for proteinuria. There was a preponderance of females (1.7%) over males (0.8%) and most patients (65.1%) were in the 19-29 years age group. Conclusion: Most patients were asymptomatic and accepted a referral to the physician. It is recommended for the benefit of attending patients to the dental surgery to include routine urine analysis for glucose and protein in addition to the usual assessment of vital signs. Key words: proteinuria, glycosuria, screening, dental patients
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贝宁市牙科患者蛋白尿和糖尿的筛查
目的:在尼日利亚埃多州贝宁市一家牙科诊所进行常规护理的患者中筛查蛋白尿和糖尿的存在。方法:一项为期36个月的前瞻性调查,涉及所有新的连续和同意的患者。所有同意的患者,尚未吃早餐,以前没有筛查蛋白尿和糖尿的病史,使用Clinistix试纸进行筛查。在选择患者时,应适当考虑病史和用药史以及相对风险。运动员,特别是马拉松运动员被排除在外。结果以简单的频率表和百分比进行分析。结果:共筛选到贝宁大学牙科学院口腔诊断诊所就诊并符合纳入标准的患者4,490例。报告糖尿阳性53例(1.2%)。男女比例为1:1.1,以19 ~ 29岁年龄组为主(49%)。43例(1.0%)尿蛋白阳性。女性(1.7%)高于男性(0.8%),大多数患者(65.1%)集中在19-29岁年龄组。结论:大多数患者无症状,接受了医生的转诊。除了常规的生命体征评估外,建议对牙科手术患者进行葡萄糖和蛋白质的常规尿液分析。关键词:蛋白尿,糖尿,筛查,牙科患者
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