التفاصيل البيبلوغرافية
| العنوان: |
PROBLEMS ASSOCIATED WITH ROUTINE URINANALYSIS OF CHILDRENATTENDING OUTPATIENT CLINICS. |
| المؤلفون: |
RM, Akuse, MN, Iyioke, MA, Bugaje, H, Idris, H, Aikhonbare |
| المصدر: |
West African Journal of Nursing; May2013, Vol. 24 Issue 1, p84-89, 6p, 1 Black and White Photograph, 1 Chart |
| مستخلص: |
Testing urine for protein is a recognized method of screening people for renal disease. In 2007 a policy decision was made at Ahmadu Bello University Teaching Hospital, Zaria that routine urinalysis should be performed on all patients attending outpatient clinics. Prior to this time, testing was done in some but not all clinics. The aim of this study was to assess the practice of routine urinalysis of children attending outpatient clinics and identify challenges to testing. This was done by analyzing records of urinalysis done in five paediatric specialist outpatient clinics in 2010 and interviewing clinic nurses. Only 614(12.3%) of 5008 children seen were tested. Rates of testing varied from 0% (neonatal clinic) to 80.6% (nephrology clinic). Proteinuria was detected in 88(14.3%) children including 19 who had no obvious renal disease. Obtaining urine from children on request was a major challenge. Further some mothers were reluctant for their child's urine to be tested but agreed after counselling. Staff felt that it was more important to test urine of patients with obvious or suspected renal disease. As proteinuria was found in children without obvious renal disease, it is important to routinely screen all children. It is recommended that routine screening of children should continue. Efforts to improve urine collection could involve mothers' breastfeeding or feeding their babies while waiting, use of urine bags, and provision of drinking water in clinics. Mothers need counseling about the importance of urine testing.Health workers should be educated about the need to screen children without obvious renal disease. [ABSTRACT FROM AUTHOR] |
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