贫民窟学龄儿童肾脏疾病无症状期的患病率

Khizerulla Sharief, Venkatesh Ks, M. VeeralokanadhaReddy, B. Kiran
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摘要

常规使用超声诊断妊娠导致发现许多胎儿泌尿系统异常。最常见的异常是由P.U.J.梗阻引起的肾积水,然后是多囊性肾发育不良。双侧肾发育不良或发育不全可能与羊水过少有关。然而,除非在妊娠后期进行扫描,否则可能会错过后尿道瓣的产前诊断。对500名在校男女儿童进行了一项横断面研究。在获得知情同意后,访问了该机构。对患儿进行体格检查,记录血压,收集尿液并进一步分析。对有显著意义的病例进行重复培养,发现7例有相同的微生物生长。无症状菌血症占1.4%。大肠杆菌(42.8%)是最常见的分离菌,其次是克雷伯菌(28.5%)。
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Prevalence of asymptomatic phase of renal disease in slum school children
Routine use of diagnostic ultrasound in pregnancy has led to the detection of urologic abnormality in many fetuses. The most common abnormality detected is hydronephrosis caused by the P.U.J. obstruction followed by multicystic dysplastic kidney . Bilateral renal dysplasia or agenesis may be associate with oligohydramnios. However antenatal diagnosis of posterior urethral valves may be missed unless a scan is undertaken late in pregnancy. A cross sectional study was conducted on 500 school going children of both sexes. An informed consent was obtained followed by a visit to the institution. Children were subjected to physical examination, blood pressure recording and urine was collected and further analyzed. Culture repeated on cases with significant have shown the growth of same organism in 7 cases. Thus asymptomatic bacteriuria was taken as 1.4%.E. coli (42.8%) was the most common isolated organism followed by Klebsiella (28.5%).
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