Author(s): Tini Nitto, Mary Alexander

Email(s): ,

DOI: 10.52711/2349-2996.2024.00002   

Address: Tini Nitto, Mary Alexander
Puhspagiri College of Nursing, Tiruvalla, Pathanamthitta, Kerala – 689101.
*Corresponding Author

Published In:   Volume - 14,      Issue - 1,     Year - 2024

Introduction: Urinary abnormalities in children may go unnoticed and can result in severe kidney diseases. Thus, their early detection is an important strategy in the prevention and control of CKD. In this study, school children are screened for “urine abnormalities” like presence of protein, blood, glucose, ketones, nitrite, leukocytes, bilirubin, urobilinogen and abnormalities in pH and specific gravity using the urine dip strips. Objectives: The objectives of the study were to detect urine abnormalities among school children (10-14 years) and to find association between the detected abnormalities with selected baseline variables of children. Method: The study was done on 235 children using purposive sampling technique. Data on demographic variables, physical examination and urine dip-strip test results were collected from four schools over a period of one month. Data analysis was done using frequency and percentage, Chi-square and Fishers Exact test. Results: The study results revealed that 90.2% (212) of the students had urine abnormalities and the major urine abnormality detected was increased urine specific gravity in 89.36% (210), and all other abnormalities were in less than 3.4% (8) of the samples, namely Bilirubinuria in 3.4% (8), leukocyturia in 1.7% (4), alkaline pH in 1.27% (3) and proteinuria in 0.4% (1) and that there is a significant association between presence of urinary abnormalities with age (p= 0.001) and place of residence (p= 0.001) at 0.05 level of significance. Conclusion: Significant urine abnormalities though found in a small number of children, their early detection is crucial to prevent Chronic Kidney Disease.

Cite this article:
Tini Nitto, Mary Alexander. Detection of Urine abnormalities among school children. Asian Journal of Nursing Education and Research. 2024; 14(1):5-1. doi: 10.52711/2349-2996.2024.00002

Tini Nitto, Mary Alexander. Detection of Urine abnormalities among school children. Asian Journal of Nursing Education and Research. 2024; 14(1):5-1. doi: 10.52711/2349-2996.2024.00002   Available on:

1.    Ke C, Liang J, Liu M, Liu S, Wang C. Burden of chronic kidney disease and its risk-attributable burden in 137 low-and middle-income countries, 1990–2019: results from the global burden of disease study 2019. BMC Nephrol. 2022; 23(1): 17.  
2.    Amanullah F, Malik AA, Zaidi Z. Chronic kidney disease causes and outcomes in children: Perspective from a LMIC setting. PLoS One. 2022; 17(6): e0269632.
3.    Vinoth PN, Kumar B V, Chacko B. Screening for Asymptomatic Renal Disease among School Children from Chennai City, India. Int J Sci Study. 2015; 3(7): 207–11.
4.    Akor F., Okolo S. N., Agaba E. I., Okolo A. Urine examination findings in apparently healthy new school entrants in Jos, Nigeria. South African J Child Heal. 2009; 3(2).  
5.    Okpere A, Anochie I, Eke F. Prevalence of Microalbuminuria among secondary school children. Afr Health Sci. 2012; 12(2).
6.    Mahmoud R, Masry A, Mohammad R, Yousef F. Urinary Screening for Detection of Renal Abnormalities in Asymptomatic School Children, Sohag Governorate, Egypt. Br J Med Med Res. 2016;13(6):1–8.
7.    Kumar CS V, Jairam A, Chetan S, Sudesh P, Kapur I, Srikaramallya. Asymptomatic bacteriuria in school going children. Indian J Med Microbiol. 2002; 20(1): 29–32.
8.    Barakat AJ. Presentation of the Child with Renal Disease and Guidelines for Referral to the Pediatric Nephrologist. Int J Pediatr. 2012; 2012: 1–5.
9.    Viteri B, Reid-Adam J. Hematuria and Proteinuria in Children. Pediatr Rev. 2018; 39(12): 573–87.
10.    Karlsson K, Rydström I, Enskär K, Englund ACD. Nurses’ perspectives on supporting children during needle-related medical procedures. Int J Qual Stud Health Well-being. 2014; 9(1).
11.    Fouad M, Boraie M. Prevalence of asymptomatic urinary abnormalities among adolescents. Saudi J Kidney Dis Transplant. 2016; 27(3): 500.
12.    Bazie EA, Mohamed M, Ali A, Hamza HB, Ismail AM, Siddig M, et al. Screening Of Proteinuria and Hematuria in Asymptomatic Children in Basic School-Kosti City-In White Nile (Kosti City). J Med Biol Sci Res. 2015; 1(9): 118–23.  
13.    Kallen RJ. Pediatric Proteinuria. Pediatrics: General Medicine. 2021.
14.    Malla H, Bhat A, Shazia B, Rather F, Najar S, Wani I. Prevalence of proteinuria in school children (aged 12-14 years) in Kashmir valley, India, using dipstick method. Saudi J Kidney Dis Transplant. 2016; 27(5):1006.
15.    Hoilat GJ, John S. Bilirubinuria. Stat Pearls. 2023
16.    Papava V, Didbaridze T, Zaalishvili Z, Gogokhia N, Maziashvili G. The Role of Urinary Nitrite in Predicting Bacterial Resistance in Urine Culture Analysis Among Patients With Uncomplicated Urinary Tract Infection. Cureus. 2022.
17.    Hajar F, Taleb M, Aoun B, Shatila A. Dipstick urine analysis screening among asymptomatic school children. N Am J Med Sci. 2011; 179–84.
18.    Nhu Nguyet Dang L, Le Binh Doan T, Doan NH, Kim Hoa Pham T, Smets F, Tran Thi MH, et al. Epidemiological urinalysis of children from kindergartens of Can Gio, Ho Chi Minh City - Vietnam. BMC Pediatr. 2013; 13(1): 183.
19.    A. D, Milani Q, Jialal I. Urinalysis. Stat Pearls. Stat Pearls Publishing; 2023.   
20.    Fan Y, Zhang S, Li Y, Li Y, Zhang T, Liu W, et al. Development and psychometric testing of the Knowledge, Attitudes and Practices (KAP) questionnaire among student Tuberculosis (TB) Patients (STBP-KAPQ) in China. BMC Infect Dis. 2018; 18(1): 1–10.   

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