Frontiers in Pediatrics (Apr 2022)

Urine Screening and 9 Years’ Medical Record System Follow-Up Among School Students in Wenzhou, China

  • Tingting Chen,
  • Tingting Chen,
  • Qing Yang,
  • Qing Yang,
  • Hong Xu,
  • Yinv Gong,
  • Xiaoling Guo,
  • Xiaoling Guo,
  • Hongzhou Lin,
  • Hongzhou Lin,
  • Jianhuan Yang,
  • Jianhuan Yang,
  • Jieqiu Zhuang,
  • Jieqiu Zhuang,
  • Junwei Lan,
  • Junwei Lan,
  • Maoping Chu,
  • Dexuan Wang,
  • Dexuan Wang,
  • Dexuan Wang

DOI
https://doi.org/10.3389/fped.2022.862029
Journal volume & issue
Vol. 10

Abstract

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School urinary screening programming can be useful for the early detection of renal and urinary disorders. However, urine screening is not included in the school health check-up in our region. Therefore, from February 2012 to March 2021, 12,497 school students were screened for urinalysis, and a long-term follow-up took place via an electronic medical record system. Among these screened students, 719 (5.75%) positive individuals received a repeat urinalysis 2 weeks later. During the 9-year medical record system follow-up period, 5 children had renal biopsies and 2 children had a diagnosis of IgA nephropathy (IgAN), while the remaining 3 children were diagnosed with thin basement membrane disease (TBM), primary nephrotic syndrome (PNS), and were suspected of C3 glomerulopathy, respectively. By this, calling for the school urine screening program as a physical examination item for primary and secondary school-aged students will contribute to enabling early detection of urine abnormalities and allow for early treatment.

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