Admission urinalysis in pediatric patients

Admission urinalysis in pediatric patients – Tips from Other Journals

Admission Urinalysis in Pediatric Patients Urinalysis is ordered routinely in children admitted to the hospital, often regardless of admitting diagnosis or chief complaint. Mitchell and Stapleton reviewed the hospital records of 694 children admitted to a day care unit and 2,001 patients admitted to a hospital that required a screening urinalysis on admission. The authors determined how frequently screening urinalysis was performed and whether the results were useful.

Patients with a complaint related to the urinary tract were excluded from the study. In the 2,152 remaining patients, screening urinalysis was performed in only 145 (30 percent) of the day care patients and 587 (35 percent) of the inpatients.

In 149 (20 percent) of the children, screening urinalysis was abnormal. Pyuria and hematuria were the most common findings. Six patients were diagnosed as having urinary tract infection. No other diagnoses wer documented. Follow-up evaluation of abnormal results was inconsistent. Only 38 percent of the patients with abnormalities on admission urinalysis were evaluated with repeat testing or urine culture.

Although screening urinalysis was required for pediatric admissions, it was performed in less than 35 percent of the children in the study. The cost of screening and follow-up testing was high (over $23,000). The authors suggest that the high cost of routine admission ruinalysis in pediatric patients may outweigh the benefits of such screening. (Pediatrics, September 1990, vol. 86, p. 345.)

COPYRIGHT 1991 American Academy of Family Physicians

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